Andrew Spadinger in Bridgeport - Pediatric Dentistry
Andrew Spadinger - NPI 1720202104
Andrew Spadinger is a Pediatric Dentistry in Bridgeport, Connecticut. Andrew Spadinger practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Andrew Spadinger is 1720202104. The last update date is 2007-07-08.
Andrew Spadinger's current location address is 4702 Main St, Bridgeport, Connecticut. You can contact this provider via phone number 2033718282 and fax number 2033652623. The mailing address for Andrew Spadinger is 4702 Main St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Spadinger |
|---|---|
| Address | 4702 Main St, Bridgeport, Connecticut |
| Phone Number | 2033718282 |
| Fax Number | 2033652623 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1720202104 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4702 Main St |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66061823 |
| Phone Number | 2033718282 |
| Fax Number | 2033652623 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7789 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the Andrew Spadinger's 1720202104?
The Andrew Spadinger's NPI (National Provider Identifier) Number is 1720202104. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Andrew Spadinger's physical address?
The Andrew Spadinger is physically located at 4702 Main St, in the city of Bridgeport, CT, with the postal code 66061823.
What is Andrew Spadinger's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Andrew Spadinger is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
When did the Andrew Spadinger receive its 1720202104?
The Andrew Spadinger was issued its 1720202104 on 2007-04-13, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Andrew Spadinger most recently updated or revised?
The details related to Andrew Spadinger, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.