Jordan Spencer DDS

NPI 1649495458 - Dentist - 122300000X

NPI Details
NPI 1649495458
Gender Male
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
826 W LINCOLN AVE
CHARLESTON IL, 61920-2464, US
Phone (217) 345-1315
Fax (217) 345-1291
Business Location
826 W LINCOLN AVE
CHARLESTON IL, 61920-2464, US
Phone (217) 345-1315
Fax (217) 345-1291
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dr. Jordan Spencer DDS NPI is 1649495458, taxonomy code is 122300000X Jordan Spencer DDS physically located at 826 W Lincoln Ave, Charleston IL, 61920-2464. NPI Number Jordan Spencer DDS has the Individual type.

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1649495458 NPI number is provided on an as is basis without warranty of any kind. 1649495458 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan Spencer DDS are for informational purposes only.