Provider Demographics
NPI:1346440427
Name:SPENCE-HEYS, COURTNEY EMMA (DDS)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:EMMA
Last Name:SPENCE-HEYS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4012
Mailing Address - Country:US
Mailing Address - Phone:734-276-5315
Mailing Address - Fax:
Practice Address - Street 1:2770 BEDFORD RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-4012
Practice Address - Country:US
Practice Address - Phone:734-276-5315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1989420122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist