Provider Demographics
NPI:1851717102
Name:STEVEN R. ALSPACH D.D.S, M.S., P.C.
Entity Type:Organization
Organization Name:STEVEN R. ALSPACH D.D.S, M.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:ALSPACH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:940-566-7021
Mailing Address - Street 1:1601 N ELM ST
Mailing Address - Street 2:STE. B
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3026
Mailing Address - Country:US
Mailing Address - Phone:940-566-7021
Mailing Address - Fax:940-383-8319
Practice Address - Street 1:1601 N ELM ST
Practice Address - Street 2:STE. B
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3026
Practice Address - Country:US
Practice Address - Phone:940-566-7021
Practice Address - Fax:940-383-8319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13056261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental