Provider Demographics
NPI:1134172729
Name:SPANGLER, GINA SHROPSHIRE (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:SHROPSHIRE
Last Name:SPANGLER
Suffix:
Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:1544 N PEACE HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27104-1328
Mailing Address - Country:US
Mailing Address - Phone:336-768-1332
Mailing Address - Fax:336-768-9470
Practice Address - Street 1:1544 N PEACE HAVEN RD
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27104-1328
Practice Address - Country:US
Practice Address - Phone:336-768-1332
Practice Address - Fax:336-768-9470
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC62701223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC33613UMedicare UPIN