Provider Demographics
NPI:1144206608
Name:SINGER, WESLEY WAYNE (DDS)
Entity Type:Individual
Prefix:
First Name:WESLEY
Middle Name:WAYNE
Last Name:SINGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 WEST TENNESSEE AVE
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830
Mailing Address - Country:US
Mailing Address - Phone:865-482-1097
Mailing Address - Fax:865-482-5309
Practice Address - Street 1:140 WEST TENNESSEE AVE
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830
Practice Address - Country:US
Practice Address - Phone:865-482-1097
Practice Address - Fax:865-482-5309
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0369181223G0001X
TN86301223G0001X
NC60891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice