| Greg Spielmann Llc | |
|
2816 Nw 58th St Ste 105 Oklahoma City OK 73112-6899 | |
| (405) 848-7780 | |
| (405) 848-7780 |
| Full Name | Greg Spielmann Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2816 Nw 58th St Ste 105, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Greg Spielmann (OWNER) |
| Authorized Official Contact | 4058487780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Spielmann Llc 2816 Nw 58th St Ste 105 Oklahoma City OK 73112-6899 Ph: (405) 848-7780 | Greg Spielmann Llc 2816 Nw 58th St Ste 105 Oklahoma City OK 73112-6899 Ph: (405) 848-7780 |
| NPI Number | 1194345785 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 04/23/2020 |
| Medicare PECOS PAC ID | 1254745771 |
|---|---|
| Medicare Enrollment ID | O20210125001806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194345785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Gregory Spielmann |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1679756175 PECOS PAC ID: 3476634502 Enrollment ID: I20210125002032 |
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