Provider Demographics
NPI:1902974348
Name:DISPIRITO, NEIL FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:FRANCIS
Last Name:DISPIRITO
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 1:654 RED LION RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6217
Mailing Address - Country:US
Mailing Address - Phone:215-947-7277
Mailing Address - Fax:
Practice Address - Street 1:654 RED LION RD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6217
Practice Address - Country:US
Practice Address - Phone:215-947-7277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025566L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice