MEDICARE: DR. RAJINDER SINGH B.D.S.

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	009911	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154527208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJINDER SINGH B.D.S.

Provider Business Mailing Address
First Line	:	5150 NW MILNER DR
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34983-3392
Country	:	US
Telephone Number	:	772-462-3800
Fax Number	:	772-462-3880

Provider Business Practice Location Address
First Line	:	531 NW LAKE WHITNEY PL
Second Line	:	SUITE 106
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34986-1619
Country	:	US
Telephone Number	:	772-462-3800
Fax Number	:	772-462-3880

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

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	02/18/2014

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