Provider Demographics
NPI:1588744577
Name:KASPAREK, GENE ARTHUR (DDS MS DOCTOR OF DEN)
Entity type:Individual
Prefix:DR
First Name:GENE
Middle Name:ARTHUR
Last Name:KASPAREK
Suffix:
Gender:M
Credentials:DDS MS DOCTOR OF DEN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 EBENEZER ROAD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732
Mailing Address - Country:US
Mailing Address - Phone:803-327-1144
Mailing Address - Fax:803-328-2100
Practice Address - Street 1:1507 EBENEZER ROAD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732
Practice Address - Country:US
Practice Address - Phone:803-327-1144
Practice Address - Fax:803-328-2100
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1861223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC186OtherLIC