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NPI Code Detail

MEDICARE: DR. JOSEPH F SPERA DMD

MEDICARE: DR. JOSEPH F SPERA DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)1158DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11000032546OTHERDEDELAWARE PHYS CARE INC
20001189701OTHERDEDIAMOND STATE
32843429OTHERDEAETNA
4177496OTHERDECOVENTRY
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6731651766OTHERDEBCBS OF DE
7731651766OTHERDELTA DENTAL
8731651766OTHERGUARDIAN DENTAL

General Provider Information

NPI Number : 1043204027
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH F SPERA DMD
Provider Business Mailing Address
First Line : 2101 FOULK RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-4710
Country : US
Telephone Number : 302-475-1122
Fax Number : 302-475-1151
Provider Business Practice Location Address
First Line : 2101 FOULK RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-4710
Country : US
Telephone Number : 302-475-1122
Fax Number : 302-475-1151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 11/28/2012

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Directions to “ DR. JOSEPH F SPERA DMD” Practice Location

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