Provider Demographics
NPI:1568470383
Name:SINGER, JEFFREY ROBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ROBERT
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 1:2111 PHELPS PL NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-4036
Mailing Address - Country:US
Mailing Address - Phone:202-265-0525
Mailing Address - Fax:202-232-2393
Practice Address - Street 1:2111 PHELPS PL NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-4036
Practice Address - Country:US
Practice Address - Phone:202-265-0525
Practice Address - Fax:202-232-2393
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDC2514122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist