| Jack D Spencer,dmd | |
|
180 Fort Couch Rd St 415 Pittsburgh PA 15241-1041 | |
| (412) 835-2288 | |
| Not Available |
| Full Name | Jack D Spencer,dmd |
|---|---|
| Speciality | Dentist |
| Location | 180 Fort Couch Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Jack David Spencer (OWNER) |
| Authorized Official Contact | 4128352288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack D Spencer,dmd 180 Fort Couch Rd St 415 Pittsburgh PA 15241-1041 Ph: (412) 835-2288 | Jack D Spencer,dmd 180 Fort Couch Rd St 415 Pittsburgh PA 15241-1041 Ph: (412) 835-2288 |
| NPI Number | 1710435151 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710435151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS 021308-L (Pennsylvania) | Primary |
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