Provider Demographics
NPI:1811026313
Name:SPEEGLE, JOHN HOBART (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HOBART
Last Name:SPEEGLE
Suffix:
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 1:206 CHERWELL CT
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-1800
Mailing Address - Country:US
Mailing Address - Phone:757-565-1546
Mailing Address - Fax:757-564-8667
Practice Address - Street 1:7349 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-7221
Practice Address - Country:US
Practice Address - Phone:757-564-8942
Practice Address - Fax:757-564-8667
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005436122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist