Provider Demographics
NPI:1891919536
Name:SPECTOR, JOEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:
Last Name:SPECTOR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2793 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4624
Mailing Address - Country:US
Mailing Address - Phone:718-266-8700
Mailing Address - Fax:718-266-8700
Practice Address - Street 1:2793 W 5TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4624
Practice Address - Country:US
Practice Address - Phone:718-266-8700
Practice Address - Fax:718-266-8700
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0261201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice