Individual
DR. JAN L. SPAGNOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
55 N CARPENTER ROAD, TITUSVILLE, FL 32796
(321) 269-3802
(321) 269-0920
Mailing address
55 N. CARPENTER ROAD, TITUSVILLE, FL 32796
(321) 269-3802
(321) 269-0920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10166
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
450792
UNITED CONCORDIA
FL
01
—
60536
BCBS OF FLORIDA
FL
Enumeration date
08/02/2006
Last updated
11/15/2007
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