| Dr Spencer Joseph, DDS | |
|
10590 Enduring Freedom Drive, Fort Drum, NY 13602 | |
| (315) 772-6234 | |
| Not Available |
| Full Name | Dr Spencer Joseph |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 10590 Enduring Freedom Drive, Fort Drum, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497152409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901021444 (Michigan) | Primary |
| Entity Name | Syracuse Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497796353 PECOS PAC ID: 0143121327 Enrollment ID: O20040120000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Spencer Joseph, DDS 10590 Enduring Freedom Drive, Fort Drum, NY 13602 Ph: (315) 772-6234 | Dr Spencer Joseph, DDS 10590 Enduring Freedom Drive, Fort Drum, NY 13602 Ph: (315) 772-6234 |
Bailey Moorhead Beardsley, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-8891 | |
Britton Sterling Beckstead, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Fort Drum, NY 13602 Phone: 315-772-5576 | |
Mark Robert Voelker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Fort Drum, NY 13602 Phone: 315-772-5576 | |
Dr. Ralf Beilhardt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Fort Drum, NY 13602 Phone: 315-772-4342 | |
Corey M Day, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Fort Drum, NY 13602 Phone: 315-772-2294 | |
Dr. Bryan Tappen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Fort Drum, NY 13602 Phone: 315-772-0220 | |
Dr. Melissa H Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602 Phone: 315-772-6234 Fax: 315-774-3558 |