Healthcare Provider Details

I. General information

NPI: 1063000206
Provider Name (Legal Business Name): MICHAEL S SINGER DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2021
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16816 BERNARDO CENTER DR STE 200
SAN DIEGO CA
92128-2540
US

IV. Provider business mailing address

16816 BERNARDO CENTER DR STE 200
SAN DIEGO CA
92128-2540
US

V. Phone/Fax

Practice location:
  • Phone: 415-480-4423
  • Fax: 858-487-6717
Mailing address:
  • Phone: 415-480-4423
  • Fax: 858-487-6717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code292200000X
TaxonomyDental Laboratory
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL S. SINGER
Title or Position: PRESIDENT
Credential: DDS
Phone: 858-487-2301