| Charles M Spatz | |
|
1574 Chapel St New Haven CT 06511-4205 | |
| (203) 865-1480 | |
| (203) 865-0290 |
| Full Name | Charles M Spatz |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1574 Chapel St, New Haven, Connecticut |
| Authorized Official Name and Position | Charles M Spatz (DENTIST) |
| Authorized Official Contact | 2038651480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles M Spatz 1574 Chapel St New Haven CT 06511-4205 Ph: (203) 865-1480 | Charles M Spatz 1574 Chapel St New Haven CT 06511-4205 Ph: (203) 865-1480 |
| NPI Number | 1801170923 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 12/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801170923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4296 (Connecticut) | Secondary |
| 122300000X | Dentist | 8938 (Connecticut) | Secondary |
| 1223G0001X | Dentist - General Practice | 4296 (Connecticut) | Primary |
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