Basic Information
| Provider Information | |||||||||
| NPI: | 1942669874 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINGH | ||||||||
| FirstName: | RANBIR | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DMD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11350 W ROSEWOOD DR | ||||||||
| Address2: | |||||||||
| City: | AVONDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853923420 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6233992633 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1579 N DYSART RD STE F | ||||||||
| Address2: | |||||||||
| City: | AVONDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853921221 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6239359873 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2016 | ||||||||
| LastUpdateDate: | 08/15/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223P0221X | 9979 | AZ | Y | Dental Providers | Dentist | Pediatric Dentistry |
No ID Information.