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NPI Code Detail

MEDICARE: DR. YASH KUMAR SINGH DMD, MD

MEDICARE: DR. YASH KUMAR SINGH DMD, MD
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
11223S0112XOral and Maxillofacial Surgery (Dentist)30-023652OH
21223S0112XOral and Maxillofacial Surgery (Dentist)12011769AIN
3204E00000XOral & Maxillofacial Surgery (D.M.D.)121183OH
4204E00000XOral & Maxillofacial Surgery (D.M.D.)01073950AIN

General Provider Information

NPI Number : 1982830766
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YASH KUMAR SINGH DMD, MD
Provider Business Mailing Address
First Line : 6735 QUAIL RIDGE LANE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804
Country : US
Telephone Number : 260-418-0095
Fax Number :
Provider Business Practice Location Address
First Line : 3303 TRIER RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4768
Country : US
Telephone Number : 260-484-9990
Fax Number : 260-484-6573
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2009
Last Update Date : 07/02/2014

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