Provider Demographics
NPI:1528640489
Name:AUBURN NY ORAL SURGERY PLLC
Entity type:Organization
Organization Name:AUBURN NY ORAL SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MD
Authorized Official - Phone:518-209-0524
Mailing Address - Street 1:183 GENESEE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-3370
Mailing Address - Country:US
Mailing Address - Phone:315-253-7384
Mailing Address - Fax:
Practice Address - Street 1:183 GENESEE ST STE 2
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-3370
Practice Address - Country:US
Practice Address - Phone:315-253-7384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty