Spatz, Charles Melvyn

Spatz, Charles Melvyn is an individual health care provider with primary practice located at 1574 Chapel Street , New Haven CT 06511-4205. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Spatz, Charles Melvyn can be contacted via phone (203) 865-1480.

Contact Information

Primary practice address
1574 Chapel Street New Haven CT 06511-4205
Phone: (203) 865-1480
Fax: (203) 865-0290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4296 Connecticut
Dental Providers / General Practice 1223G0001X 4296 Connecticut

Profile Details

NPI number 1972642023
LBN Legal business name Spatz, Charles Melvyn
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jan 28th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972642023 NPPES
Connecticut MEDICAID 8034743
Connecticut MEDICAID 2042968

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