Glynn Stephen Spencer in Lees Summit - Pediatric Dentistry
Glynn Stephen Spencer - NPI 1306829080
Glynn Stephen Spencer is a Pediatric Dentistry in Lees Summit, Missouri. Glynn Stephen Spencer practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Glynn Stephen Spencer is 1306829080. The last update date is 2010-09-17.
Glynn Stephen Spencer's current location address is 301 Ne Mulberry St, Lees Summit, Missouri. You can contact this provider via phone number 8166076000 and fax number 8166076001. The mailing address for Glynn Stephen Spencer is 301 Ne Mulberry St, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glynn Stephen Spencer |
|---|---|
| Address | 301 Ne Mulberry St, Lees Summit, Missouri |
| Phone Number | 8166076000 |
| Fax Number | 8166076001 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1306829080 |
|---|---|
| Provider Enumeration Date | 2005-11-27 |
| Last Updated Date | 2010-09-17 |
Provider Mailing Address Detail
| Address | 301 Ne Mulberry St |
|---|---|
| City | Lees Summit |
| State | Missouri (MO) |
| Post Code | 640865818 |
| Phone Number | 8166076000 |
| Fax Number | 8166076001 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2000161231 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique 10-digit identification code assigned to Glynn Stephen Spencer by the Centers for Medicare & Medicaid Services?
The Glynn Stephen Spencer has been issued the NPI (National Provider Identifier) 1306829080, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Glynn Stephen Spencer's physical address?
The Glynn Stephen Spencer is physically located at 301 Ne Mulberry St, in the city of Lees Summit, MO, with the postal code 640865818.
What is the area of specialization for Glynn Stephen Spencer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glynn Stephen Spencer is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Glynn Stephen Spencer receive its 1306829080 assignment from the Centers for Medicare & Medicaid Services?
The Glynn Stephen Spencer was assigned its 1306829080 by the Centers for Medicare & Medicaid Services on 2005-11-27.
When was the information related to Glynn Stephen Spencer most recently updated or refreshed?
The details pertaining to the Glynn Stephen Spencer, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-09-17.