Basic Information
Provider Information
NPI: 1497054563
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGER
FirstName: RICHARD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: D.M.D., MS
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 7872 CUMMINGS LANE
Address2:  
City: BOCA RATON
State: FL
PostalCode: 33433
CountryCode: US
TelephoneNumber: 5614167466
FaxNumber:  
Practice Location
Address1: 3200 S. UNIVERSITY DRIVE
Address2: SANFORD L. ZIFF BLDG.
City: FT. LAUDERDALE
State: FL
PostalCode: 33328
CountryCode: US
TelephoneNumber: 9542627500
FaxNumber: 9542627164
Other Information
ProviderEnumerationDate: 03/15/2011
LastUpdateDate: 03/15/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1223X0400XDN16059FLY Dental ProvidersDentistOrthodontics and Dentofacial Orthopedics

No ID Information.


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