MEDICARE: JAMES A. SPINELLI D.D.S. P.A.

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1154330330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES A. SPINELLI D.D.S. P.A.

Provider Business Mailing Address
First Line	:	5924 WESTFIELD AVE
Second Line	:
City	:	PENNSAUKEN
State	:	NJ
Zip	:	08110-1842
Country	:	US
Telephone Number	:	856-663-4881
Fax Number	:	856-663-0441

Provider Business Practice Location Address
First Line	:	5924 WESTFIELD AVE
Second Line	:
City	:	PENNSAUKEN
State	:	NJ
Zip	:	08110-1842
Country	:	US
Telephone Number	:	856-663-4881
Fax Number	:	856-663-0441

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES ANTHONY SPINELLI
Credential	:	D.D.S.
Telephone Number	:	856-663-4881

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	08/22/2020

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