Provider Demographics
NPI:1538223516
Name:SINGER, ELLIOT (DMD)
Entity type:Individual
Prefix:DR
First Name:ELLIOT
Middle Name:
Last Name:SINGER
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 1:407 CAMBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1614
Mailing Address - Country:US
Mailing Address - Phone:650-329-9124
Mailing Address - Fax:650-329-9146
Practice Address - Street 1:407 CAMBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1614
Practice Address - Country:US
Practice Address - Phone:650-329-9124
Practice Address - Fax:650-329-9146
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57716122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist