Provider Demographics
NPI:1689647802
Name:SPANJER, WILLIAM SCOTT (DENTIST)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SCOTT
Last Name:SPANJER
Suffix:
Gender:M
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 S COLORADO BLVD
Mailing Address - Street 2:SUITE 444S
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1915
Mailing Address - Country:US
Mailing Address - Phone:303-759-0731
Mailing Address - Fax:
Practice Address - Street 1:720 S COLORADO BLVD
Practice Address - Street 2:SUITE 444S
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1904
Practice Address - Country:US
Practice Address - Phone:303-759-0731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3449122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist