MEDICARE: DAVID SPILKIA 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
1	122300000X	Dentist	DS025588L	PA
2	1223G0001X	General Practice Dentistry	DS025588L	PA
3	1223G0001X	General Practice Dentistry	232510054	PA

General Provider Information

NPI Number	:	1407931678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID SPILKIA DMD

Provider Business Mailing Address
First Line	:	7052 FRANKFORD AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19135-1617
Country	:	US
Telephone Number	:	267-463-2777
Fax Number	:

Provider Business Practice Location Address
First Line	:	7052-56 FRANKFORD AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19135-1617
Country	:	US
Telephone Number	:	267-463-2777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	03/10/2021

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Directions to “ DAVID SPILKIA DMD” Practice Location

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