Donald Charles Spruck in Massapequa - Dentist

Donald Charles Spruck - NPI 1740450931

Donald Charles Spruck is a Dentist in Massapequa, New York. Donald Charles Spruck practices all healthcare services and medical treatments related to Dentist. The NPI Number for Donald Charles Spruck is 1740450931. The last update date is 2011-05-20.

Donald Charles Spruck's current location address is 5240 Merrick Road, Massapequa, New York. You can contact this provider via phone number 5167982020 and fax number 5167982237. The mailing address for Donald Charles Spruck is 5240 Merrick Road, Massapequa, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald Charles Spruck
Address 5240 Merrick Road, Massapequa, New York
Phone Number 5167982020
Fax Number 5167982237
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1740450931
Provider Enumeration Date 2008-03-04
Last Updated Date 2011-05-20

Provider Mailing Address Detail

Address 5240 Merrick Road
City Massapequa
State New York (NY)
Post Code 117586207
Phone Number 5167982020
Fax Number 5167982237

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 30905
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Donald Charles Spruck

What is the unique 10-digit identifier code assigned to Donald Charles Spruck by the Centers for Medicare & Medicaid Services?

The Donald Charles Spruck has been issued the NPI (National Provider Identifier) 1740450931 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Donald Charles Spruck is geographically located?

The Donald Charles Spruck is physically situated at the following location: 5240 Merrick Road, Massapequa, NY, 117586207.

What is the area of specialization for Donald Charles Spruck, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Donald Charles Spruck is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1740450931 to Donald Charles Spruck?

The Donald Charles Spruck received its 1740450931 assignment from the Centers for Medicare & Medicaid Services on 2008-03-04.

As of what date was the information regarding Donald Charles Spruck, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Donald Charles Spruck, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-05-20.

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