Organization Active NPI

Surdeep Dental Group of Fresno Inc

  • General Practice Dentistry
  • Kingsburg, CA
National Provider Identifier
1720974355
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SURDEEP DENTAL GROUP OF FRESNO INC
Practice address
1064 Lewis St
Kingsburg, CA 93631-2414
Phone
(559) 897-2600
NPI assigned
Jun 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Surdeep Singh, DDSNPI 1992300628
Title
Owner Dentist
Phone
(559) 708-9099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1064 Lewis St
Kingsburg, CA 93631-2414

Mailing address

1064 Lewis St
Kingsburg, CA 93631-2414
Phone (559) 897-2600

Other names 1

  • Kingsburg Family Dentistry & Implant Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1720974355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 LEWIS ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936312414",
            "telephone_number": "559-897-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 LEWIS ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936312414",
            "telephone_number": "559-897-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURDEEP DENTAL GROUP OF FRESNO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "SURDEEP",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "559-708-9099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsburg Family Dentistry & Implant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.