Individual
DR. YASH KUMAR SINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
3303 TRIER RD, FORT WAYNE, IN 46815-4768
(260) 484-9990
(260) 484-6573
Mailing address
6735 QUAIL RIDGE LANE, FORT WAYNE, IN 46804
(260) 418-0095
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12011769A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30-023652
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
01073950A
IN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
121183
OH
Other
Enumeration date
06/07/2009
Last updated
07/02/2014
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