Provider Demographics
NPI:1922535269
Name:SPERL, ADAM JOEL (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:JOEL
Last Name:SPERL
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:2200 COUNTY ROAD C W STE 2210
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-2551
Mailing Address - Country:US
Mailing Address - Phone:651-746-2815
Mailing Address - Fax:651-209-6312
Practice Address - Street 1:18315 CASCADE DR STE 110
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55347-1190
Practice Address - Country:US
Practice Address - Phone:952-653-0479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-17
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND138121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics