Provider Demographics
NPI:1275679011
Name:SINGER, MARC R (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:R
Last Name:SINGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10287 CLAYTON RD
Mailing Address - Street 2:STE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-1172
Mailing Address - Country:US
Mailing Address - Phone:314-872-3567
Mailing Address - Fax:314-872-7750
Practice Address - Street 1:10287 CLAYTON RD
Practice Address - Street 2:STE 300
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1172
Practice Address - Country:US
Practice Address - Phone:314-872-3567
Practice Address - Fax:314-872-7750
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO141671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice