Provider Demographics
NPI:1184189458
Name:SINGLETON ELMORE DENTAL PARTNERS PLLC
Entity Type:Organization
Organization Name:SINGLETON ELMORE DENTAL PARTNERS PLLC
Other - Org Name:BUFFALO CREEK DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-937-4424
Mailing Address - Street 1:111 INDIAN DRIVE, SUITE 101
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165
Mailing Address - Country:US
Mailing Address - Phone:972-937-4424
Mailing Address - Fax:972-937-4258
Practice Address - Street 1:111 INDIAN DRIVE, SUITE 101
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165
Practice Address - Country:US
Practice Address - Phone:972-937-4424
Practice Address - Fax:972-937-4258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty