Provider Demographics
NPI:1679678684
Name:SPATARO, FRANCIS T JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:T
Last Name:SPATARO
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:468 PAWLING AVE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-5832
Mailing Address - Country:US
Mailing Address - Phone:518-272-4372
Mailing Address - Fax:518-272-4469
Practice Address - Street 1:468 PAWLING AVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-5832
Practice Address - Country:US
Practice Address - Phone:518-272-4372
Practice Address - Fax:518-272-4469
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0394131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice