Organization
SPADAFORE ORTHODONTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A SPADAFORE DDS, MSD (PRESIDENT)
(740) 695-5911
Entity
Organization
Contact information
Practice address
47696 RESERVOIR RD, SAINT CLAIRSVILLE, OH 43950-9153
(740) 695-5911
(740) 695-3023
Mailing address
47696 RESERVOIR RD, SAINT CLAIRSVILLE, OH 43950-9153
(740) 695-5911
(740) 695-3023
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19529
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3035
WV
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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