Provider Demographics
NPI:1932597374
Name:DEIRDRE J SINGER DDS PC
Entity Type:Organization
Organization Name:DEIRDRE J SINGER DDS PC
Other - Org Name:TRANQUIL SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DEIRDRE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:406-683-2671
Mailing Address - Street 1:115 S PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:MT
Mailing Address - Zip Code:59725-2752
Mailing Address - Country:US
Mailing Address - Phone:406-683-2671
Mailing Address - Fax:406-683-4816
Practice Address - Street 1:115 S PACIFIC ST
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:MT
Practice Address - Zip Code:59725-2752
Practice Address - Country:US
Practice Address - Phone:406-683-2671
Practice Address - Fax:406-683-4816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTDEN-DEN-LIC-79311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty