institution
Gw Spencer, Dds, Pc
Dental Clinic/Center in Sedalia, Missouri
NPI 1740455716

Gw Spencer, Dds, Pc is a Dental Clinic/Center based in Sedalia, MO and is specialized in Dental. Gw Spencer, Dds, Pc practices in Sedalia, MO. The NPI Number for Gw Spencer, Dds, Pc is 1740455716 and holds a License No. 11661 (Missouri).

The current practice location address for Gw Spencer, Dds, Pc is 1716 W 11Th St, Sedalia, MO and can be reached out via phone at 660-826-3571 and via fax at 660-826-3051.

Location: 1716 W 11Th St, Sedalia, MO, 65301-5221
institution
Provider Profile Details
NPI Number
1740455716
Provider Name
Gw Spencer, Dds, Pc
Credential
Provider Entity Type
Organization
Address
1716 W 11Th St, Sedalia, MO, 65301-5221
Phone Number
660-826-3571
Fax Number
660-826-3051
Provider Enumeration Date
04/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11661 01 MO STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1716 W 11Th St
City
State
Zip
65301-5221
Phone Number
660-826-3571
Fax Number
660-826-3051
person
Provider Business Mailing Address Details
Address
1716 W 11Th St
City
State
Zip
65301-5221
Phone Number
660-826-3571
Fax Number
660-826-3051
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
11661 (Missouri)
Definition
Definition to come...
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