Provider Demographics
NPI:1144385899
Name:SINGH, YASHODHARA (BDS, DDS)
Entity Type:Individual
Prefix:DR
First Name:YASHODHARA
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:BDS, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9609 TAVARES CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78733-1685
Mailing Address - Country:US
Mailing Address - Phone:512-255-5900
Mailing Address - Fax:512-255-3636
Practice Address - Street 1:1516 E PALM VALLEY BLVD
Practice Address - Street 2:SUITE C-1
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-4619
Practice Address - Country:US
Practice Address - Phone:512-255-5900
Practice Address - Fax:512-255-3636
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX221901223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics