Provider Demographics
NPI:1417573247
Name:SPAULDING ENTERPRISES LLC
Entity Type:Organization
Organization Name:SPAULDING ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DELANEY
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:SPAULDING
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:404-808-8884
Mailing Address - Street 1:2201 GRAND AVE STE 113
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-6103
Mailing Address - Country:US
Mailing Address - Phone:205-945-3035
Mailing Address - Fax:205-945-3065
Practice Address - Street 1:2201 GRAND AVE STE 113
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-6103
Practice Address - Country:US
Practice Address - Phone:205-945-3035
Practice Address - Fax:205-945-3065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental