MEDICARE: DR. YASHODHARA SINGH BDS, DDS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	22190	TX

General Provider Information

NPI Number	:	1144385899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YASHODHARA SINGH BDS, DDS

Provider Business Mailing Address
First Line	:	9609 TAVARES CV
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78733-1685
Country	:	US
Telephone Number	:	512-255-5900
Fax Number	:	512-255-3636

Provider Business Practice Location Address
First Line	:	1516 E PALM VALLEY BLVD
Second Line	:	SUITE C-1
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-4619
Country	:	US
Telephone Number	:	512-255-5900
Fax Number	:	512-255-3636

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

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	07/08/2007

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