Provider Demographics
NPI:1477704336
Name:SPERANDEO, JANENE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JANENE
Middle Name:
Last Name:SPERANDEO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 HANOVER DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-8683
Mailing Address - Country:US
Mailing Address - Phone:817-756-1892
Mailing Address - Fax:
Practice Address - Street 1:705 W BAILEY BOSWELL RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76179-1020
Practice Address - Country:US
Practice Address - Phone:817-232-5997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23178122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist