Provider Demographics
NPI:1629522552
Name:SPECHLER, JACQUELINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:
Last Name:SPECHLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9874 YAMATO RD STE 116
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-5552
Mailing Address - Country:US
Mailing Address - Phone:561-488-1688
Mailing Address - Fax:
Practice Address - Street 1:9874 YAMATO RD
Practice Address - Street 2:SUITE 116
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-5552
Practice Address - Country:US
Practice Address - Phone:561-488-1688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN217561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice