Provider Demographics
NPI:1518088095
Name:SPERLING DENTAL PA
Entity Type:Organization
Organization Name:SPERLING DENTAL PA
Other - Org Name:MICHAEL A. SPERLING, DDS PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:PRIMO
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-843-4091
Mailing Address - Street 1:905 E MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-4702
Mailing Address - Country:US
Mailing Address - Phone:407-843-4091
Mailing Address - Fax:407-843-4038
Practice Address - Street 1:905 E MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-4702
Practice Address - Country:US
Practice Address - Phone:407-843-4091
Practice Address - Fax:407-843-4038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL78011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty