Active NPIOrganization

Idg Spencer Dental PLLC

Dentist in Spencer, Massachusetts

NPI Number1508741224
Practice location
134 W Main St, Spencer, MA 01562-2621
Fax
—
Last updated
August 11, 2025

Idg Spencer Dental PLLC is a healthcare organization based in Spencer, MA. Idg Spencer Dental PLLC practices in Spencer, MA. The NPI Number for Idg Spencer Dental PLLC is 1508741224. The current practice location address for Idg Spencer Dental PLLC is 134 W Main St, Spencer, MA 01562-2621 and can be reached out via phone at 508-885-0033.

Provider Profile Details

NPI Number
1508741224
Provider Name
Idg Spencer Dental PLLC
Provider Entity Type
Organization
Address
134 W Main St, Spencer, MA 01562-2621
Phone Number
508-885-0033
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Junsoo Kwon, DMD · Owner · 508-885-0033
Other Names
Spg Dental (Doing Business As)
Provider Enumeration Date
August 11, 2025
Last Update Date
August 11, 2025
Certification Date
August 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
134 W Main St
Spencer, MA 01562-2621
Zip
01562-2621
Phone Number
508-885-0033
Spencer, MA 01562Get directions →

Provider Business Mailing Address Details

Address
134 W Main St
Spencer, MA 01562-2621
City
Spencer
State
MA
Zip
01562-2621
Phone Number
508-885-0033

License Information

Taxonomy
Dentist · 122300000X · 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 Idg Spencer Dental PLLC?

The NPI number of Idg Spencer Dental PLLC is 1508741224. It was assigned on August 11, 2025 and is currently active in the NPPES registry.

What is the specialty of Idg Spencer Dental PLLC?

Idg Spencer Dental PLLC is registered under the primary taxonomy Dentist (code 122300000X).

Where does Idg Spencer Dental PLLC practice?

The practice location is 134 W Main St, Spencer, MA 01562-2621. The office can be reached at 508-885-0033 (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 1508741224 directly on the NPPES registry website.

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