Spence, Doyle Sam

Spence, Doyle Sam is an sole proprietor health care provider with primary practice located at 3390 S 27Th St , Abilene TX 79605-6224. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Spence, Doyle Sam can be contacted via phone (325) 695-0088.

Contact Information

Primary practice address
3390 S 27Th St Abilene TX 79605-6224
Fax: (325) 695-7778
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 13035 Texas

Profile Details

NPI number 1831197516
LBN Legal business name Spence, Doyle Sam
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Sep 2nd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831197516 NPPES
Texas MEDICAID 0089013-01

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