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NPI Code Detail

MEDICARE: JOSEPH F. SPERA, D.M.D., P.A.

MEDICARE: JOSEPH F. SPERA, D.M.D., 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
11223S0112XOral and Maxillofacial Surgery (Dentist)G-1-001158DE

General Provider Information

NPI Number : 1760675730
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPH F. SPERA, D.M.D., P.A.
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 : OWNER
Name : DR. JOSEPH F SPERA
Credential : D.M.D.
Telephone Number : 302-475-1122
Provider Enumeration Date : 08/23/2007
Last Update Date : 09/27/2007

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