Spoljaric, Angela

Spoljaric, Angela is an individual health care provider with primary practice located at 401 Holly Hills Ave , Saint Louis MO 63111-2410. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Spoljaric, Angela can be contacted via phone (314) 353-5190.

Contact Information

Primary practice address
401 Holly Hills Ave Saint Louis MO 63111-2410
Fax: (314) 353-7631
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 016021 Missouri

Profile Details

NPI number 1235114489
LBN Legal business name Spoljaric, Angela
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Apr 8th, 2026 - about 6 months 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 1235114489 NPPES
Missouri MEDICAID 409143302

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