Provider Demographics
NPI:1083760722
Name:SPANGLER, BARBARA ELLEN (DMD MSD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ELLEN
Last Name:SPANGLER
Suffix:
Gender:F
Credentials:DMD MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1305 MIDDLETOWN RD
Mailing Address - Street 2:SUITE1
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8825
Mailing Address - Country:US
Mailing Address - Phone:717-566-3776
Mailing Address - Fax:717-566-2243
Practice Address - Street 1:1305 MIDDLETOWN RD
Practice Address - Street 2:SUITE1
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-8825
Practice Address - Country:US
Practice Address - Phone:717-566-3776
Practice Address - Fax:717-566-2243
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS02639L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics