MEDICARE: DR. YADVERINDER 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	122300000X	Dentist	11046	CT
2	390200000X	Student in an Organized Health Care Education/Training Program
3	122300000X	Dentist	058314	NY

General Provider Information

NPI Number	:	1457611063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YADVERINDER SINGH D.M.D

Provider Business Mailing Address
First Line	:	23 FAIRVIEW DR
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06032-2516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 FAIRVIEW DR
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06032-2516
Country	:	US
Telephone Number	:	860-595-8388
Fax Number	:

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

Provider Enumeration Date	:	05/17/2012
Last Update Date	:	05/15/2025

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