Healthcare Provider Details

I. General information

NPI: 1023458866
Provider Name (Legal Business Name): APRIL KEMP SPITZ D.M.D., M.S.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2013
Last Update Date: 08/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4023 FOREST DR
COLUMBIA SC
29204-4313
US

IV. Provider business mailing address

4023 FOREST DR
COLUMBIA SC
29204-4313
US

V. Phone/Fax

Practice location:
  • Phone: 803-782-7722
  • Fax:
Mailing address:
  • Phone: 803-782-7722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number8119
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: