Provider Demographics
NPI:1124862271
Name:SINGLETARY, BAILEY CLINTON (DMD)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:CLINTON
Last Name:SINGLETARY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHATTAHOOCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:32324-1433
Mailing Address - Country:US
Mailing Address - Phone:850-663-4363
Mailing Address - Fax:
Practice Address - Street 1:321 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHATTAHOOCHEE
Practice Address - State:FL
Practice Address - Zip Code:32324-1433
Practice Address - Country:US
Practice Address - Phone:850-663-4363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL291511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice