Provider Demographics
NPI:1841357142
Name:MARTIN S. SPILLER, DMD, PC
Entity type:Organization
Organization Name:MARTIN S. SPILLER, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SPILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-597-5541
Mailing Address - Street 1:PO BOX 689
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:MA
Mailing Address - Zip Code:01469-0689
Mailing Address - Country:US
Mailing Address - Phone:978-597-5541
Mailing Address - Fax:978-597-8982
Practice Address - Street 1:208 MAIN ST
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:MA
Practice Address - Zip Code:01469-1096
Practice Address - Country:US
Practice Address - Phone:978-597-5541
Practice Address - Fax:978-597-8982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty