Provider Demographics
NPI:1689907016
Name:SPEER, NORMAN E (DDS,,MS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:E
Last Name:SPEER
Suffix:
Gender:M
Credentials:DDS,,MS
Other - Prefix:DR
Other - First Name:NORMAN
Other - Middle Name:E
Other - Last Name:SPEER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:2600 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-4040
Mailing Address - Country:US
Mailing Address - Phone:956-523-7500
Mailing Address - Fax:956-718-4021
Practice Address - Street 1:2600 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-4040
Practice Address - Country:US
Practice Address - Phone:956-523-7448
Practice Address - Fax:956-718-4021
Is Sole Proprietor?:No
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95501223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics