Provider Demographics
NPI:1750473724
Name:OASIS DENTAL
Entity Type:Organization
Organization Name:OASIS DENTAL
Other - Org Name:ERIC SPIELER DMD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OASIS DENTAL
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPIELER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-878-2030
Mailing Address - Street 1:2805 N 47TH ST
Mailing Address - Street 2:IROQUOIS APARTMENTS
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131
Mailing Address - Country:US
Mailing Address - Phone:215-878-2030
Mailing Address - Fax:
Practice Address - Street 1:2805 N 47TH ST
Practice Address - Street 2:IROQUOIS APARTMENTS
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131
Practice Address - Country:US
Practice Address - Phone:215-878-2030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024203L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty