Provider Demographics
NPI:1588080253
Name:VILLING, AKASHDEEP SINGH (DMD)
Entity type:Individual
Prefix:MR
First Name:AKASHDEEP
Middle Name:SINGH
Last Name:VILLING
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC STREET PO BOX 357134
Mailing Address - Street 2:UNIVERSITY OF WASHINGTON DEPARTMENT OF ORAL SURGERY
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195
Mailing Address - Country:US
Mailing Address - Phone:206-778-3448
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC STREET BOX 357134
Practice Address - Street 2:UNIVERSITY OF WASHINGTON DEPARTMENT OF ORAL SURGERY
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195
Practice Address - Country:US
Practice Address - Phone:206-778-3448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2015-01-28
Deactivation Date:2014-10-06
Deactivation Code:
Reactivation Date:2015-01-28
Provider Licenses
StateLicense IDTaxonomies
390200000X
WADR60468285204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program