Healthcare Provider Details

I. General information

NPI: 1164571782
Provider Name (Legal Business Name): RONALD LEE SINGER D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date: 01/20/2016
Reactivation Date: 06/10/2016

III. Provider practice location address

740 S LIMESTONE UK COLLEGE OF DENTISTRY STE A219
LEXINGTON KY
40536-4495
US

IV. Provider business mailing address

740 S LIMESTONE UK COLLEGE OF DENTISTRY STE A219
LEXINGTON KY
40536-0284
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-6261
  • Fax: 859-257-2043
Mailing address:
  • Phone: 859-323-6261
  • Fax: 859-257-2043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number9724
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: