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Organization

ORTHOZONE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS SINGLETON DDS, MS, PC (ORTHODONTIST)
(770) 974-3633
Entity
Organization

Contact information

Practice address
3104 CREEKSIDE VILLAGE DR NW, SUITE 401, KENNESAW, GA 30144-2324
(770) 974-3633
(770) 974-3660
Mailing address
3104 CREEKSIDE VILLAGE DR NW, SUITE 401, KENNESAW, GA 30144-2324
(770) 974-3633
(770) 974-3660

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DNO12705
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DNO13950
GA

Other

Enumeration date
07/13/2016
Last updated
07/13/2016
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