Provider Demographics
NPI:1326275314
Name:SPINKS, DEVIN SHANE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:SHANE
Last Name:SPINKS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6302 BROADWAY ST STE 150
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-7828
Mailing Address - Country:US
Mailing Address - Phone:281-997-0100
Mailing Address - Fax:281-997-0680
Practice Address - Street 1:6302 BROADWAY ST STE 150
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-7828
Practice Address - Country:US
Practice Address - Phone:281-997-0100
Practice Address - Fax:281-997-0680
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0024767122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist