Provider Demographics
NPI:1588785018
Name:SPINELLI, RAYMOND ANTHONY (DDS)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:ANTHONY
Last Name:SPINELLI
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 1:1879 VETERANS PARK DR STE 1104
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0500
Mailing Address - Country:US
Mailing Address - Phone:239-598-9020
Mailing Address - Fax:239-598-4750
Practice Address - Street 1:825 VANDERBILT BEACH RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-8709
Practice Address - Country:US
Practice Address - Phone:239-598-9020
Practice Address - Fax:239-598-4750
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN152451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice