Provider Demographics
NPI:1992493217
Name:SINGH, KARISHMA M
Entity type:Individual
Prefix:
First Name:KARISHMA
Middle Name:M
Last Name:SINGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 KEPH DR APT 8
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-3254
Mailing Address - Country:US
Mailing Address - Phone:804-938-0268
Mailing Address - Fax:
Practice Address - Street 1:1275 POST RD STE 217
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6024
Practice Address - Country:US
Practice Address - Phone:203-576-1918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064146122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist