Provider Demographics
NPI:1861627333
Name:SINGLEY, JAMIE K (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:K
Last Name:SINGLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6316 AZLE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76135-2452
Mailing Address - Country:US
Mailing Address - Phone:817-237-7377
Mailing Address - Fax:
Practice Address - Street 1:6316 AZLE AVE STE 200
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:TX
Practice Address - Zip Code:76135-2452
Practice Address - Country:US
Practice Address - Phone:817-237-7377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24593122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist