MEDICARE: DR. VIVEK SINGH 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	1223G0001X	General Practice Dentistry	31916	TX

General Provider Information

NPI Number	:	1972955896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIVEK SINGH DDS

Provider Business Mailing Address
First Line	:	5565 MANSIONS BLFS
Second Line	:	APT 4301
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-4129
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 E ZAVALA ST STE 1
Second Line	:
City	:	CRYSTAL CITY
State	:	TX
Zip	:	78839-3337
Country	:	US
Telephone Number	:	830-448-5532
Fax Number	:

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

Provider Enumeration Date	:	07/02/2016
Last Update Date	:	02/20/2020

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