Provider Demographics
NPI:1407081037
Name:SPERFSLAGE, ARNOLD A (DDS)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:A
Last Name:SPERFSLAGE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N 3RD ST
Mailing Address - Street 2:SUITE 711
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-5304
Mailing Address - Country:US
Mailing Address - Phone:319-753-1600
Mailing Address - Fax:319-752-9453
Practice Address - Street 1:320 N 3RD ST
Practice Address - Street 2:SUITE 711
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-5304
Practice Address - Country:US
Practice Address - Phone:319-753-1600
Practice Address - Fax:319-752-9453
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA054691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice