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NPI Code Detail

MEDICARE: DR. ANDRE MILTON SINGLETON D.D.S.

MEDICARE: DR. ANDRE MILTON SINGLETON D.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
11223G0001XGeneral Practice DentistryDN016028GA

General Provider Information

NPI Number : 1669481412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDRE MILTON SINGLETON D.D.S.
Provider Business Mailing Address
First Line : PO BOX 1520
Second Line :
City : HINESVILLE
State : GA
Zip : 31310-8520
Country : US
Telephone Number : 912-545-9398
Fax Number : 912-545-2747
Provider Business Practice Location Address
First Line : 303 FRASER DR
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-3712
Country : US
Telephone Number : 912-877-2227
Fax Number : 912-877-2332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 12/09/2020

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