Spencer Alexander Patrick in Smyrna - General Practice

Spencer Alexander Patrick - NPI 1205987815

Spencer Alexander Patrick is a General Practice in Smyrna, Georgia. Spencer Alexander Patrick practices all healthcare services and medical treatments related to General Practice. The NPI Number for Spencer Alexander Patrick is 1205987815. The last update date is 2008-06-03.

Spencer Alexander Patrick's current location address is 4480 N Cooper Lake Rd Se, Smyrna, Georgia. You can contact this provider via phone number 7708630005 and fax number 7704363404. The mailing address for Spencer Alexander Patrick is 4480 N Cooper Lake Rd Se, Smyrna, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Spencer Alexander Patrick
Address 4480 N Cooper Lake Rd Se, Smyrna, Georgia
Phone Number 7708630005
Fax Number 7704363404
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1205987815
Provider Enumeration Date 2007-01-12
Last Updated Date 2008-06-03

Provider Mailing Address Detail

Address 4480 N Cooper Lake Rd Se
City Smyrna
State Georgia (GA)
Post Code 300824621
Phone Number 7708630005
Fax Number 7704363404

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN013020
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Spencer Alexander Patrick

What is the unique identifier code issued to Spencer Alexander Patrick by the Centers for Medicare & Medicaid Services?

The Spencer Alexander Patrick has been assigned the NPI (National Provider Identifier) 1205987815. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Spencer Alexander Patrick?

The Spencer Alexander Patrick is physically situated at 4480 N Cooper Lake Rd Se, in the city of Smyrna, state of GA, with the postal code 300824621.

What is Spencer Alexander Patrick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Spencer Alexander Patrick is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Spencer Alexander Patrick receive its 1205987815 assignment from the Centers for Medicare & Medicaid Services?

The Spencer Alexander Patrick was assigned its 1205987815 by the Centers for Medicare & Medicaid Services on 2007-01-12.

When was the Spencer Alexander Patrick's information last updated?

The Spencer Alexander Patrick's information was last updated on 2008-06-03.

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