Provider Demographics
NPI:1649800368
Name:IGNACIO S. GISPERT, D.D.S P.A.
Entity type:Organization
Organization Name:IGNACIO S. GISPERT, D.D.S P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IGNACIO
Authorized Official - Middle Name:VIRGILIO
Authorized Official - Last Name:GISPERT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:302-547-1655
Mailing Address - Street 1:189 CHRISTIANA RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-3039
Mailing Address - Country:US
Mailing Address - Phone:302-322-2303
Mailing Address - Fax:
Practice Address - Street 1:189 CHRISTIANA RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-3039
Practice Address - Country:US
Practice Address - Phone:302-322-2303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty