MEDICARE: AMINA SINGH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	6825	NV

General Provider Information

NPI Number	:	1972052769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMINA SINGH

Provider Business Mailing Address
First Line	:	9117 BLAZING FIRE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7038
Country	:	US
Telephone Number	:	702-712-3720
Fax Number	:

Provider Business Practice Location Address
First Line	:	4318 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6016
Country	:	US
Telephone Number	:	702-712-3720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2016
Last Update Date	:	01/10/2022

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