Provider Demographics
NPI:1841503356
Name:HOYT, SPENCER SALAZAR (DDS)
Entity type:Individual
Prefix:DR
First Name:SPENCER
Middle Name:SALAZAR
Last Name:HOYT
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 1:2572 GUS THOMASSON RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-3017
Mailing Address - Country:US
Mailing Address - Phone:214-484-2479
Mailing Address - Fax:214-484-3320
Practice Address - Street 1:2572 GUS THOMASSON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-3017
Practice Address - Country:US
Practice Address - Phone:214-484-2479
Practice Address - Fax:214-484-3320
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX257841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice