MEDICARE: SAMIR SINGH D.M.D.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DS040770	PA

General Provider Information

NPI Number	:	1194086801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMIR SINGH D.M.D.

Provider Business Mailing Address
First Line	:	88 FORT COUCH RD STE 202
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-1042
Country	:	US
Telephone Number	:	412-835-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	88 FORT COUCH RD STE 202
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-1042
Country	:	US
Telephone Number	:	412-835-1111
Fax Number	:

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

Provider Enumeration Date	:	05/30/2012
Last Update Date	:	03/17/2018

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