Provider Demographics
NPI:1508001439
Name:SINGH AURORA, PRU (DDS)
Entity Type:Individual
Prefix:DR
First Name:PRU
Middle Name:
Last Name:SINGH AURORA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4308 N QUINLAN PARK RD
Mailing Address - Street 2:STE 201
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-6070
Mailing Address - Country:US
Mailing Address - Phone:512-266-7200
Mailing Address - Fax:512-266-6197
Practice Address - Street 1:4308 N QUINLAN PARK RD
Practice Address - Street 2:STE 201
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-6070
Practice Address - Country:US
Practice Address - Phone:512-266-7200
Practice Address - Fax:512-266-6197
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0513611223P0221X
TX278781223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry