Provider Demographics
NPI:1194749903
Name:SINGSANK, DEAN J (DDS)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:J
Last Name:SINGSANK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 SE 21ST ST
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744-4268
Mailing Address - Country:US
Mailing Address - Phone:218-326-3439
Mailing Address - Fax:218-327-1475
Practice Address - Street 1:220 SE 21ST ST
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55744-4268
Practice Address - Country:US
Practice Address - Phone:218-326-3439
Practice Address - Fax:218-327-1475
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN88061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice