Provider Demographics
NPI:1083764732
Name:ALSPACH, STEVEN RICHARD (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:RICHARD
Last Name:ALSPACH
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 N ELM ST
Mailing Address - Street 2:STE. B
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3026
Mailing Address - Country:US
Mailing Address - Phone:940-566-7021
Mailing Address - Fax:940-383-8319
Practice Address - Street 1:1601 N ELM ST
Practice Address - Street 2:STE. B
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3026
Practice Address - Country:US
Practice Address - Phone:940-566-7021
Practice Address - Fax:940-383-8319
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX130561223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics