Dr Spencer Joseph, DDS | |
10590 Enduring Freedom Drive, Fort Drum, NY 13602 | |
(315) 772-6234 | |
Not Available |
Full Name | Dr Spencer Joseph |
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Gender | Male |
Speciality | Dentist |
Location | 10590 Enduring Freedom Drive, Fort Drum, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497152409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901021444 (Michigan) | Primary |
Entity Name | Syracuse Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497796353 PECOS PAC ID: 0143121327 Enrollment ID: O20040120000443 |
Mailing Address | Practice Location Address |
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Dr Spencer Joseph, DDS 10590 Enduring Freedom Drive, Fort Drum, NY 13602 Ph: (315) 772-6234 | Dr Spencer Joseph, DDS 10590 Enduring Freedom Drive, Fort Drum, NY 13602 Ph: (315) 772-6234 |
Bailey Moorhead Beardsley, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-8891 | |
Britton Sterling Beckstead, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Fort Drum, NY 13602 Phone: 315-772-5576 | |
Megan Eyre Bunting, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10205 N Riva Ridge Loop, Fort Drum, NY 13602 Phone: 315-772-1918 | |
Mark Robert Voelker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Fort Drum, NY 13602 Phone: 315-772-5576 | |
Dr. Donald E Cole, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Us Army Dental Activity / Credentials, 10590 Enduring Freedom Drive, Fort Drum, NY 13602 Phone: 315-772-6234 Fax: 315-774-3558 | |
Dr. Ralf Beilhardt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Fort Drum, NY 13602 Phone: 315-772-4342 | |
Corey M Day, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10590 Enduring Freedom Dr, Fort Drum, NY 13602 Phone: 315-772-2294 |