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NPI 1669481412

NPI 1669481412 : ANDRE MILTON SINGLETON D.D.S. : HINESVILLE, GA

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General NPI Number Information
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    NPI Number           |    1669481412
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    Entity Type          |    Individual 
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    Provider Name        |    ANDRE MILTON SINGLETON D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/07/2006
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    Last Update Date     |    12/09/2020
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Provider Practice Location Address
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    Address Line         |    303 FRASER DR 
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    City                 |    HINESVILLE
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    State                |    GA
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    Zip                  |    31313-3712
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    Country              |    US
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    Telephone            |    912-877-2227
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    Fax                  |    912-877-2332
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1520 
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    City                 |    HINESVILLE
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    State                |    GA
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    Zip                  |    31310-8520
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    Country              |    US
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    Telephone            |    912-545-9398
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    Fax                  |    912-545-2747
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DN016028
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    License Number State |    GA
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