Individual
DR. PETER SPILOTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.C.
Contact information
Practice address
15440 N 7TH ST, SUITE 8, PHOENIX, AZ 85022-3535
(602) 504-6400
(602) 504-6300
Mailing address
7217 W CAMINO DE ORO, PEORIA, AZ 85383-3266
(602) 504-6400
(602) 504-6300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5123
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
996431
UNITED CONCORDIA PRO #
AZ
01
—
AZ0414080
BCBS PRO ID NUMBER
AZ
Enumeration date
11/21/2006
Last updated
07/08/2007
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