Jodie L Spencer in Lees Summit - Pediatric Dentistry

Jodie L Spencer - NPI 1972587624

Jodie L Spencer is a Pediatric Dentistry in Lees Summit, Missouri. Jodie L Spencer practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jodie L Spencer is 1972587624. The last update date is 2010-09-24.

Jodie L 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 Jodie L Spencer is 301 Ne Mulberry St, Lees Summit, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jodie L Spencer
Address 301 Ne Mulberry St, Lees Summit, Missouri
Phone Number 8166076000
Fax Number 8166076001
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1972587624
Provider Enumeration Date 2005-12-05
Last Updated Date 2010-09-24

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 2003044357
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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FAQs about Jodie L Spencer

What is the unique 10-digit identifier code issued to Jodie L Spencer by the Centers for Medicare & Medicaid Services?

The Jodie L Spencer has been assigned the NPI (National Provider Identifier) 1972587624 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jodie L Spencer's facilities are geographically located?

The facilities of Jodie L Spencer are physically situated at the following location: 301 Ne Mulberry St, Lees Summit, MO, 640865818.

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

The area of specialization for Jodie L Spencer is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.

When did Jodie L Spencer receive its 1972587624 assignment?

The Jodie L Spencer was assigned its 1972587624 on 2005-12-05, which is the date when this unique identifier was issued to the organization.

As of what date were the Jodie L Spencer's details last updated?

The information pertaining to the Jodie L Spencer, including its address, specialty, and other details, was most recently updated on 2010-09-24.

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