Provider Demographics
NPI:1659876001
Name:SINGMASTER, DIANA Z
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:Z
Last Name:SINGMASTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:Z
Other - Last Name:RUIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:9129 CARDINAL MEADOW TRL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-5761
Mailing Address - Country:US
Mailing Address - Phone:407-375-9758
Mailing Address - Fax:
Practice Address - Street 1:13188 E COLONIAL DR STE B5
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-4648
Practice Address - Country:US
Practice Address - Phone:407-930-4035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN251151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice