| Gw Spencer, Dds, Pc | |
|
1716 W 11th St Sedalia MO 65301-5221 | |
| (660) 826-3571 | |
| (660) 826-3051 |
| Full Name | Gw Spencer, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1716 W 11th St, Sedalia, Missouri |
| Authorized Official Name and Position | Gerald W Spencer (OWNER) |
| Authorized Official Contact | 6608263571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gw Spencer, Dds, Pc 1716 W 11th St Sedalia MO 65301-5221 Ph: (660) 826-3571 | Gw Spencer, Dds, Pc 1716 W 11th St Sedalia MO 65301-5221 Ph: (660) 826-3571 |
| NPI Number | 1740455716 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740455716 | NPI | - | NPPES |
| 11661 | Other | MO | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11661 (Missouri) | Primary |
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