MEDICARE: JOEL D SINGER DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)
2	122300000X	Dentist

General Provider Information

NPI Number	:	1750938403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOEL D SINGER DMD

Provider Business Mailing Address
First Line	:	327 BRIDGE PLZ N
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-5051
Country	:	US
Telephone Number	:	201-592-6222
Fax Number	:	201-592-6780

Provider Business Practice Location Address
First Line	:	327 BRIDGE PLZ N
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-5051
Country	:	US
Telephone Number	:	201-592-6222
Fax Number	:	201-592-6780

Authorized Official
Title or Position	:	OWNER
Name	:	JOEL SINGER
Credential	:
Telephone Number	:	201-592-6222

Provider Enumeration Date	:	08/19/2019
Last Update Date	:	08/19/2019

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