Provider Demographics
NPI:1790986933
Name:HASPEL, ALAN CHARLES (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:CHARLES
Last Name:HASPEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:821 SE OCEAN BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2456
Mailing Address - Country:US
Mailing Address - Phone:772-283-6575
Mailing Address - Fax:772-283-6757
Practice Address - Street 1:821 SE OCEAN BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2456
Practice Address - Country:US
Practice Address - Phone:772-283-6575
Practice Address - Fax:772-283-6757
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN167411223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGC935ZOtherMEDICARE PTAN