Provider Demographics
NPI:1154330330
Name:JAMES A. SPINELLI D.D.S. P.A.
Entity Type:Organization
Organization Name:JAMES A. SPINELLI D.D.S. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SPINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:856-663-4881
Mailing Address - Street 1:5924 WESTFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08110-1842
Mailing Address - Country:US
Mailing Address - Phone:856-663-4881
Mailing Address - Fax:856-663-0441
Practice Address - Street 1:5924 WESTFIELD AVE
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08110-1842
Practice Address - Country:US
Practice Address - Phone:856-663-4881
Practice Address - Fax:856-663-0441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty