Provider Demographics
NPI:1992781611
Name:SINGH, HARJINDER (DDS)
Entity type:Individual
Prefix:
First Name:HARJINDER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 BUTTE HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-2101
Mailing Address - Country:US
Mailing Address - Phone:530-674-7440
Mailing Address - Fax:530-848-5785
Practice Address - Street 1:1675 BUTTE HOUSE RD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-2101
Practice Address - Country:US
Practice Address - Phone:530-674-7440
Practice Address - Fax:530-848-5785
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47181122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABS6919801OtherDEA