DR. SANDRA MARIE SPADAFORA, D.D.S. - NPI NUMBER 1619185873

Summary

Provider Name: DR. SANDRA MARIE SPADAFORA, D.D.S.

NPI Number: 1619185873

Clasification: Dentist (1223G0001X)

Specialization: General Practice

Address:
5299 PARK BLVD
PINELLAS PARK, FL
ZIP 33781

Phone Number: (727) 547-8227



Detailed Information

DR. Sandra Marie Spadafora, D.D.S. is a general practice dentist in Pinellas Park, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. The assigned NPI number for this provider is 1619185873 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

5299 PARK BLVD
PINELLAS PARK, FL
ZIP 33781-418
Phone: (727) 547-8227
Fax: (727) 547-5252

The enumeration date for this NPI number is 5/20/2007 and was last updated on 7/10/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 1223G0001X Dentist General Practice DN0012556 FL Yes

NPI Record

No. Field Name Field Value
1 NPI 1619185873
2 Entity Type Code 1
3 Provider Last Name Legal Name SPADAFORA
4 Provider First Name SANDRA
5 Provider Middle Name MARIE
6 Provider Name Prefix Text DR.
7 Provider Credential Text D.D.S.
8 Provider First Line Business Practice Location Address 5299 PARK BLVD
9 Provider Business Practice Location Address City Name PINELLAS PARK
10 Provider Business Practice Location Address State Name FL
11 Provider Business Practice Location Address Postal Code 337813418
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 7275478227
14 Provider Business Practice Location Address Fax Number 7275475252
15 Provider Enumeration Date 5/20/2007
16 Last Update Date 7/10/2012
17 Provider Gender Code F
18 Healthcare Provider Taxonomy Code 1 1223G0001X
19 Provider License Number 1 DN0012556
20 Provider License Number State Code 1 FL
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Sole Proprietor Y

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.