Provider Demographics
NPI:1578816419
Name:YADAV, PRIYANKA SINGH (DDS)
Entity type:Individual
Prefix:DR
First Name:PRIYANKA
Middle Name:SINGH
Last Name:YADAV
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:PRIYANKA
Other - Middle Name:MANDEEP
Other - Last Name:YADAV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7760 SPALDING DR
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-4207
Mailing Address - Country:US
Mailing Address - Phone:770-270-5700
Mailing Address - Fax:
Practice Address - Street 1:7760 SPALDING DR
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-4207
Practice Address - Country:US
Practice Address - Phone:770-270-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014480122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist