Munvir Singh Pannu, DDS
Individual provider Active NPI Dentist · Prunedale, CA
NPI 1689475758 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1689475758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 111307 (CA)
- Practice address
- 17820 Moro Rd
Prunedale, CA 93907-8564 - Phone
- (831) 663-2660
- NPI assigned
- Mar 24, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111307 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adriana Lalinde DDS Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111307 | CA | Yes |
Addresses
Primary practice location
17820 Moro Rd
Prunedale, CA 93907-8564
Mailing address
17820 Moro Rd
Prunedale, CA 93907-8564
Other providers in Prunedale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.