Healthcare Provider Details

I. General information

NPI: 1003018862
Provider Name (Legal Business Name): ELIZABETH SPINDEL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

862 UNION ST
MANCHESTER NH
03104-3150
US

IV. Provider business mailing address

862 UNION ST
MANCHESTER NH
03104-3150
US

V. Phone/Fax

Practice location:
  • Phone: 603-669-9049
  • Fax:
Mailing address:
  • Phone: 603-669-9049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETH SANDLER SPINDEL
Title or Position: OWNER
Credential: DMD
Phone: 603-669-9049