Provider Demographics
NPI:1427875715
Name:AFFORDABLE DENTURES & IMPLANTS - MAPLEWOOD, P.C.
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - MAPLEWOOD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLETARY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:651-294-9229
Mailing Address - Street 1:1845 COUNTY ROAD D E STE 170
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-5326
Mailing Address - Country:US
Mailing Address - Phone:651-294-9229
Mailing Address - Fax:
Practice Address - Street 1:1845 COUNTY ROAD D E STE 170
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-5326
Practice Address - Country:US
Practice Address - Phone:651-294-9229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty