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Provider Information for 1861988941

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DANIELLE LYNN SPINDEN DMD

Gender: FEMALE

Individual NPI: 1861988941

Calendar   Last Updated:  2021-07-16
  Certification Date:  2021-07-16

Details

Name Value
NPI 1861988941
Enumeration Date 2018-07-02
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 502 BUD DR STE 102
CHESAPEAKE, VA 23322-7931
United States

Phone: 724-288-1053 | Fax:
View Map External Link
Primary Practice Address 502 BUD DR STE 102
CHESAPEAKE, VA 23322-7931
United States

Phone: 724-288-1053 | Fax:
View Map External Link
Secondary Practice Address 1320 MERCY DR NW
CANTON, OH 44708-2614
United States

Phone: 330-489-1000 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice VA 040147244
No 1223G0001X - Dentist General Practice OH RES.004007