Provider Demographics
NPI:1285700567
Name:SPANIEL, JULIE ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:SPANIEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 HINESBURG RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7612
Mailing Address - Country:US
Mailing Address - Phone:802-864-1890
Mailing Address - Fax:802-864-7526
Practice Address - Street 1:1050 HINESBURG RD
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-7612
Practice Address - Country:US
Practice Address - Phone:802-864-1890
Practice Address - Fax:802-864-7526
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT12161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice