Provider Demographics
NPI:1326591181
Name:SPRING, JILLIAN (DMD)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:SPRING
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2217 SEPVIVA ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-2517
Mailing Address - Country:US
Mailing Address - Phone:609-587-5858
Mailing Address - Fax:
Practice Address - Street 1:2675 E CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-3727
Practice Address - Country:US
Practice Address - Phone:215-426-7307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-28
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI027226001223G0001X
PADI027226122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice