Provider Demographics
NPI:1578139259
Name:SINGH, SHILPA (DDS)
Entity type:Individual
Prefix:DR
First Name:SHILPA
Middle Name:
Last Name:SINGH
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 W FORT ST UNIT 32855
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48232-7737
Mailing Address - Country:US
Mailing Address - Phone:404-452-8455
Mailing Address - Fax:
Practice Address - Street 1:24800 LAHSER RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-3237
Practice Address - Country:US
Practice Address - Phone:248-357-1999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41243122300000X
MI2901600911122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist