| Organization Name: | DANIEL J. SPELLMAN DMD PC |
| NPI Number: | 1043652746 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL J SPELLMAN (PRES/SECR) |
| Mailing Address: | 4117 Main St Munhall |
| State: | PA US |
| Postal Code: | 151203327 |
| Phone Number: | 4124641976 |
| Fax Number: | 4124640426 |
| NPI Enumeration Date: | 07/23/2013 |
| NPI Last Update Date: | 07/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DSO2OO66L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |