| Spencer Dental | |
|
2165 Cunningham Drive Hampton VA 23666 | |
| (800) 920-9947 | |
| (678) 904-5666 |
| Full Name | Spencer Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2165 Cunningham Drive, Hampton, Virginia |
| Authorized Official Name and Position | Michelle Jacomino (DIRECTOR OF PAYOR RELATIONS) |
| Authorized Official Contact | 7709165036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Dental 210 Interstate North Pkwy Se Ste 300 Atlanta GA 30339-2233 Ph: (678) 916-9000 | Spencer Dental 2165 Cunningham Drive Hampton VA 23666 Ph: (800) 920-9947 |
| NPI Number | 1609963297 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 05/27/2022 |
| Certification Date | 05/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609963297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Secondary |
| 1223G0001X | Dentist - General Practice | () | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Secondary |
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