Provider Demographics
NPI:1164558201
Name:JOHN H. SPEEGLE AND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:JOHN H. SPEEGLE AND ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HOBART
Authorized Official - Last Name:SPEEGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-564-8942
Mailing Address - Street 1:7349 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-7221
Mailing Address - Country:US
Mailing Address - Phone:757-564-8942
Mailing Address - Fax:757-564-8667
Practice Address - Street 1:7349 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-7221
Practice Address - Country:US
Practice Address - Phone:757-564-8942
Practice Address - Fax:757-564-8667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010054361223G0001X
VA04010058261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty