Provider Demographics
NPI:1104990100
Name:SPATZ, WILLIAM Z (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:Z
Last Name:SPATZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:PGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217
Mailing Address - Country:US
Mailing Address - Phone:412-521-0965
Mailing Address - Fax:412-521-0966
Practice Address - Street 1:2017 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:PGH
Practice Address - State:PA
Practice Address - Zip Code:15217
Practice Address - Country:US
Practice Address - Phone:412-521-0965
Practice Address - Fax:412-521-0965
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0351801223G0001X
PADP0005261223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASP099300Medicare ID - Type Unspecified
PAVO8649Medicare UPIN