1053441766 NPI number — STEPHEN D. SPRINGER, D.D.S. & DANIEL W. SPRINGER, D.M.D., LTD

Table of content: (NPI 1053441766)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053441766 NPI number — STEPHEN D. SPRINGER, D.D.S. & DANIEL W. SPRINGER, D.M.D., LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STEPHEN D. SPRINGER, D.D.S. & DANIEL W. SPRINGER, D.M.D., LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053441766
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23 HUMMER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EPHRATA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17522-1508
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-733-2147
Provider Business Mailing Address Fax Number:
717-733-4123

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23 HUMMER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EPHRATA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17522-1508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-733-2147
Provider Business Practice Location Address Fax Number:
717-733-4123
Provider Enumeration Date:
03/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SPRINGER
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
W.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
717-733-2147

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  DS015954L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1223G0001X , with the licence number: DS030280L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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