Provider Demographics
NPI:1104971167
Name:SINGER, MICHAEL T (BS DDS FAAMP FACP)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:T
Last Name:SINGER
Suffix:
Gender:M
Credentials:BS DDS FAAMP FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10215 FERNWOOD ROAD
Mailing Address - Street 2:#601
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817
Mailing Address - Country:US
Mailing Address - Phone:301-493-9500
Mailing Address - Fax:301-897-5571
Practice Address - Street 1:10215 FERNWOOD ROAD
Practice Address - Street 2:#601
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817
Practice Address - Country:US
Practice Address - Phone:301-897-3350
Practice Address - Fax:301-897-5571
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD73171223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDSI117593Medicare ID - Type Unspecified
U50665Medicare UPIN