Provider Demographics
NPI:1184454902
Name:SPENCER, SLOANE ALEXANDRA (DDS)
Entity type:Individual
Prefix:DR
First Name:SLOANE
Middle Name:ALEXANDRA
Last Name:SPENCER
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 1:9533 56TH AVE W
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-3663
Mailing Address - Country:US
Mailing Address - Phone:425-791-0523
Mailing Address - Fax:
Practice Address - Street 1:229 W BUTE ST APT 203
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1415
Practice Address - Country:US
Practice Address - Phone:425-791-0523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14044051-8903122300000X
UT14044051-9926122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist