Individual
DR. JESSICA LAUREN SPINELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
910 ERIE BLVD E, SYRACUSE, NY 13210
(315) 425-2468
Mailing address
910 ERIE BLVD E, SYRACUSE, NY 13210-1048
(315) 425-2468
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
056643-1
NY
1223G0001X
General Practice Dentistry
056643-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2012
Last updated
07/21/2022
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