Kenneth R Spence in College Station - General Practice
Kenneth R Spence - NPI 1578765582
Kenneth R Spence is a General Practice in College Station, Texas. Kenneth R Spence practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth R Spence is 1578765582. The last update date is 2007-07-08.
Kenneth R Spence's current location address is 2700 Earl Rudder Fwy S, College Station, Texas. You can contact this provider via phone number 9796964511. The mailing address for Kenneth R Spence is 2700 Earl Rudder Fwy S, College Station, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth R Spence |
|---|---|
| Address | 2700 Earl Rudder Fwy S, College Station, Texas |
| Phone Number | 9796964511 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1578765582 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2700 Earl Rudder Fwy S |
|---|---|
| City | College Station |
| State | Texas (TX) |
| Post Code | 778455010 |
| Phone Number | 9796964511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 14892 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 82D691 | TX | BCBS PROVIDER # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth R Spence?
The Kenneth R Spence has been issued the NPI (National Provider Identifier) 1578765582 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Kenneth R Spence is physically located?
The Kenneth R Spence is situated at the following address: 2700 Earl Rudder Fwy S, College Station, TX 778455010.
What is Kenneth R Spence's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth R Spence is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578765582 to Kenneth R Spence?
The Centers for Medicare & Medicaid Services originally issued the 1578765582 to Kenneth R Spence on 2007-06-01.
As of what date were the details pertaining to Kenneth R Spence last refreshed?
The information related to the Kenneth R Spence, including its address, specialty, and other relevant details, was last updated on 2007-07-08.