Provider Demographics
NPI:1477168532
Name:CAITLIN SINGLETON DDS PLLC
Entity Type:Organization
Organization Name:CAITLIN SINGLETON DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-558-4407
Mailing Address - Street 1:804 DESERT HARBOR PL
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-9632
Mailing Address - Country:US
Mailing Address - Phone:734-558-4407
Mailing Address - Fax:
Practice Address - Street 1:4208 S ALSTON AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2218
Practice Address - Country:US
Practice Address - Phone:919-544-5620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10669OtherNORTH CAROLINA DENTAL LICENSE