Provider Demographics
NPI:1477610509
Name:SINGLETON, NAIDA LIANA (DMD)
Entity Type:Individual
Prefix:DR
First Name:NAIDA
Middle Name:LIANA
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-3109
Mailing Address - Country:US
Mailing Address - Phone:843-479-4781
Mailing Address - Fax:843-479-3117
Practice Address - Street 1:307 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512-3109
Practice Address - Country:US
Practice Address - Phone:843-479-4781
Practice Address - Fax:843-479-3117
Is Sole Proprietor?:No
Enumeration Date:2007-01-01
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3873122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCZX3873Medicaid