Provider Demographics
NPI:1447570510
Name:SINGSON, MARIE THERESE ANICIA JAVIER (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIE THERESE ANICIA
Middle Name:JAVIER
Last Name:SINGSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARIE THERESE
Other - Middle Name:JAVIER
Other - Last Name:SINGSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:6039 WHITBY RD
Mailing Address - Street 2:APT #1307
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-2363
Mailing Address - Country:US
Mailing Address - Phone:407-446-6600
Mailing Address - Fax:
Practice Address - Street 1:9262 CULEBRA RD
Practice Address - Street 2:#107
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-3571
Practice Address - Country:US
Practice Address - Phone:210-680-0860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX255011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice