DR. John Keith Spitznagel JR., D.D.S., PH.D.

NPI #1255500807 in Parkton, Maryland

Provider Information

NPI Number: 1255500807
Entity Type: Individual
Name: DR. John Keith Spitznagel JR., D.D.S., PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: D.D.S., PH.D.
Enumeration Date: Feb 28, 2008
Last Updated: Feb 28, 2008

Practice Location

Address: 17818 FORESTON RD
City: Parkton
State: Maryland
ZIP Code: 21120-9657
Phone: (443) 465-4745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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