Individual
DR. BRAD C SINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3410 FAR WEST BLVD, SUITE 310, AUSTIN, TX 78731-3194
(512) 349-9500
Mailing address
3410 FAR WEST BLVD, SUITE 310, AUSTIN, TX 78731-3194
(512) 349-9500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21120
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633200
UNITED CONCORDIAPROVIDER#
TX
05
—
170979204
—
TX
01
—
179020076
ADA #
TX
Enumeration date
10/12/2006
Last updated
04/11/2012
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