Provider Demographics
NPI:1780205211
Name:SINGLETON, ALISON DIANA (RDH)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:DIANA
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16110 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-1720
Mailing Address - Country:US
Mailing Address - Phone:443-679-8999
Mailing Address - Fax:
Practice Address - Street 1:13625 OFFICE PL STE 102
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-4270
Practice Address - Country:US
Practice Address - Phone:703-670-7071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD8133124Q00000X
VA0402207930124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist