Elizabeth Bossong Spannhake, D.D.S, M.S., M.P.H

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8026 Issued in MD

Practice address

419 Malcolm Dr
Suite C
Westminster, MD 21157-6130

Phone

(410) 857-4700

Fax

(410) 857-9166

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patel County Dentistry PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Glen Burnie, MD
  • NPI 1548028418
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578611604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 MALCOLM DR",
            "address_2": "SUITE C",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576130",
            "telephone_number": "410-857-4700",
            "fax_number": "410-857-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MALCOLM DR",
            "address_2": "SUITE C",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576130",
            "telephone_number": "410-857-4700",
            "fax_number": "410-857-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANNHAKE",
        "first_name": "ELIZABETH",
        "middle_name": "BOSSONG",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S., M.P.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "8026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Soliman, MD
• Stephanie Gayle Solomon, OD
• Adria Christine Soper
• Giselle Soto, CCC-SLP
• Aubrey M Spanitz, LCSW-C
• Haley Sparks, DPT
• Stephanie Sparks
• Marie Grace Speck, LCSW-C
• Brittany Phalon Speert, LCPC
• Alec Speights

• Orthodontics and Dentofacial Orthopedics Dentistry in Westminster, MD
• Providers in Westminster, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.