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NPI Code Detail

MEDICARE: DR. JASON RYAN SPEIGEL D.M.D.

MEDICARE:  DR. JASON RYAN SPEIGEL  D.M.D.
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
11223G0001XGeneral Practice DentistryDN17027FL

General Provider Information

NPI Number : 1871596734
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON RYAN SPEIGEL D.M.D.
Provider Business Mailing Address
First Line : 110 S WOODLAND ST
Second Line : APT 101
City : WINTER GARDEN
State : FL
Zip : 34787-3546
Country : US
Telephone Number : 409-905-8827
Fax Number : 407-905-8980
Provider Business Practice Location Address
First Line : 209 E 7TH ST
Second Line :
City : APOPKA
State : FL
Zip : 32703-5327
Country : US
Telephone Number : 407-886-9569
Fax Number : 407-886-9569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 01/16/2008

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Directions to “ DR. JASON RYAN SPEIGEL D.M.D.” Practice Location

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