Michael Spataro, D.M.D
Individual provider Active NPI General Practice Dentistry · Montrose, PA
NPI 1083752158 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083752158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS-031166-L (PA)
- Practice address
- 48 Church St
Montrose, PA 18801-1255 - Phone
- (570) 278-3347
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-031166-L | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS-031166-L | PA | Yes |
Addresses
Primary practice location
48 Church St
Montrose, PA 18801-1255
Mailing address
48 Church St
Montrose, PA 18801-1255
Phone (570) 278-3347
Other providers in Montrose, PA
- Alyssa A Sapien
- Britton Anthony Schneider
- Joseph Carl Schneider Jr.
- Jacob Anthony Schweiger
- Thomas J Sheeran III
- Joseph Michael Speicher
- Sarah Stang
- Lynn Iva Stankiewicz
- Janet Stevens
- Erin Stewart
All providers in Montrose, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.