Provider Demographics
NPI:1780113845
Name:SINGLETON, KAITTIN EVERIDGE (DMD)
Entity type:Individual
Prefix:DR
First Name:KAITTIN
Middle Name:EVERIDGE
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:KAITTIN
Other - Last Name:EVERIDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:3285 BLAZER PKWY #200
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509
Mailing Address - Country:US
Mailing Address - Phone:859-543-0700
Mailing Address - Fax:
Practice Address - Street 1:3285 BLAZER PKWY
Practice Address - Street 2:#200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509
Practice Address - Country:US
Practice Address - Phone:859-543-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-12
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY99601223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist