Provider Demographics
NPI:1760741730
Name:OASIS DENTAL, LLC
Entity Type:Organization
Organization Name:OASIS DENTAL, LLC
Other - Org Name:DR. ERIC L. SPIELER, DMD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-278-4134
Mailing Address - Street 1:1 BELMONT AVENUE
Mailing Address - Street 2:SUITE 516
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004
Mailing Address - Country:US
Mailing Address - Phone:484-278-4134
Mailing Address - Fax:484-278-4133
Practice Address - Street 1:1 BELMONT AVENUE
Practice Address - Street 2:SUITE 516
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004
Practice Address - Country:US
Practice Address - Phone:484-278-4134
Practice Address - Fax:484-278-4133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS024203L261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental