MEDICARE: A NEAL SPANGLERS JR DDS PA

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	1223G0001X	General Practice Dentistry	3397	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972528834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEAL SPANGLERS JR DDS PA

Provider Business Mailing Address
First Line	:	417 W WARREN ST
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-5329
Country	:	US
Telephone Number	:	704-482-8336
Fax Number	:	704-481-8861

Provider Business Practice Location Address
First Line	:	417 W WARREN ST
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-5329
Country	:	US
Telephone Number	:	704-482-8336
Fax Number	:	704-481-8861

Authorized Official
Title or Position	:	OWNER
Name	:	DR. A NEAL SPANGLER JR.
Credential	:	DDS
Telephone Number	:	404-482-8336

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	08/22/2020

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