Provider Demographics
NPI:1992708374
Name:SPECTOR, GILBERT (DDS)
Entity type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:
Last Name:SPECTOR
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 1:29 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1723
Mailing Address - Country:US
Mailing Address - Phone:914-939-8881
Mailing Address - Fax:914-939-3888
Practice Address - Street 1:29 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1723
Practice Address - Country:US
Practice Address - Phone:914-939-8881
Practice Address - Fax:914-939-3888
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026640-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice