Individual
MR. MACON MICHELL SINGLETARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
7805 FIESTA WAY, RALEIGH, NC 27615
(919) 518-8222
(919) 518-8252
Mailing address
7805 FIESTA WAY, RALEIGH, NC 27615
(919) 518-8222
(919) 518-8252
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
NC 4535
NC
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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