Provider Demographics
NPI:1710020045
Name:SPENCER, DAVID L (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:SPENCER
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 YORKSHIRE STREET, SUITE 102
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-277-7668
Mailing Address - Fax:828-277-0277
Practice Address - Street 1:15 YORKSHIRE STREET, SUITE 102
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-277-7668
Practice Address - Fax:828-277-0277
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC83311223E0200X
AZD47041223E0200X
SDD09231223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics