Spagnoli, Jan L.

Spagnoli, Jan L. is an individual health care provider with primary practice located at 55 N Carpenter Road , Titusville FL 32796. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Spagnoli, Jan L. can be contacted via phone (321) 269-3802.

Contact Information

Primary practice address
55 N Carpenter Road Titusville FL 32796
Phone: (321) 269-3802
Fax: (321) 269-0920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN10166 Florida

Profile Details

NPI number 1558378380
LBN Legal business name Spagnoli, Jan L.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Nov 15th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558378380 NPPES
Florida Other 450792 UNITED CONCORDIA
Florida Other 60536 UNITED CONCORDIA

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