Provider Demographics
NPI:1821162751
Name:SPIEGEL, ANNE (DDS)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 EDISON ST
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-2458
Mailing Address - Country:US
Mailing Address - Phone:650-349-5171
Mailing Address - Fax:650-349-6171
Practice Address - Street 1:2720 EDISON ST
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-2458
Practice Address - Country:US
Practice Address - Phone:650-349-5171
Practice Address - Fax:650-349-6171
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA429521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice