Active NPIIndividual provider

Dr. Evelyn Spencer, DMD

Dentist, Periodontics in Fairfield, Connecticut

NPI Number1326616319
Practice location
1047 Old Post RD, Fairfield, CT 06824-5906
Fax
—
Last updated
October 4, 2024

Evelyn Spencer is a Dentist, Periodontics based in Fairfield, CT. Evelyn Spencer practices in Fairfield, CT and has the professional credentials of DMD. The NPI Number for Evelyn Spencer is 1326616319 and holds a License No. 064378 (NY). The current practice location address for Evelyn Spencer is 1047 Old Post RD, Fairfield, CT 06824-5906 and can be reached out via phone at 203-254-2006.

Provider Profile Details

NPI Number
1326616319
Provider Name
Evelyn Spencer
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1047 Old Post RD, Fairfield, CT 06824-5906
Phone Number
203-254-2006
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2021
Last Update Date
October 4, 2024
Certification Date
October 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1047 Old Post RD
Fairfield, CT 06824-5906
Zip
06824-5906
Phone Number
203-254-2006
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
1047 Old Post RD
Fairfield, CT 06824-5906
City
Fairfield
State
CT
Zip
06824-5906
Phone Number
203-254-2006

License Information

License Number (1)
064378
License State (1)
NY
Taxonomy (1)
Dentist, Periodontics · 1223P0300X
License Number (2)
14217
License State (2)
CT
Taxonomy (2)
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Evelyn Spencer, DMD?

The NPI number of Dr. Evelyn Spencer, DMD is 1326616319. It was assigned on June 15, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Evelyn Spencer, DMD?

Dr. Evelyn Spencer, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NY under license number 064378.

Where does Dr. Evelyn Spencer, DMD practice?

The practice location is 1047 Old Post RD, Fairfield, CT 06824-5906. The office can be reached at 203-254-2006 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326616319 directly on the NPPES registry website.

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