CHARLES MELVYN SPATZ DMD NPI 1972642023

NPI Information

NPI: 1972642023
Provider Name: CHARLES MELVYN SPATZ, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1574 CHAPEL STREET
NEW HAVEN, CT
ZIP 06511
Phone: (203) 865-1480
Get Directions

Charles Melvyn Spatz, DMD is a general practice dentist in New Haven, CT. 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. Charles Melvyn Spatz, DMD NPI is 1972642023. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1574 CHAPEL STREET
NEW HAVEN, CT
ZIP 06511-205
Phone: (203) 865-1480
Fax: (203) 865-0290

The enumeration date for this NPI number is 2/5/2007 and was last updated on 1/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	122300000X	Dentist		4296	CONNECTICUT	No
2	1223G0001X	Dentist	General Practice	4296	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2042968	MEDICAID	CONNECTICUT
2	8034743	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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