Spence, Dennis Ross
Spence, Dennis Ross is an individual health care provider with primary practice located at 700 Olympic Plaza Cir Ste 412 , Tyler TX 75701-1952. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Spence, Dennis Ross can be contacted via phone (903) 595-5186.Contact Information
Primary practice address
700 Olympic Plaza Cir Ste 412
Tyler TX 75701-1952
Phone: (903) 595-5186
Fax: (903) 595-5240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 10456 | Texas |
Profile Details
| NPI number | 1639241599 |
|---|---|
| LBN Legal business name | Spence, Dennis Ross |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639241599 | NPPES |
| Texas | MEDICAID | 1305898-05 | |
| Texas | MEDICAID | 0808586-01 | |
| Texas | MEDICAID | 1305898-04 |
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