Provider Demographics
NPI:1548878796
Name:SRAN, HARKIRAT SINGH (DMD)
Entity type:Individual
Prefix:DR
First Name:HARKIRAT
Middle Name:SINGH
Last Name:SRAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 ELLSWORTH ST APT 1D
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06605-3130
Mailing Address - Country:US
Mailing Address - Phone:206-669-8057
Mailing Address - Fax:
Practice Address - Street 1:190 CORAM AVE
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-3347
Practice Address - Country:US
Practice Address - Phone:203-924-4115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12822122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist