Spence, Terry Michael

Spence, Terry Michael is an sole proprietor health care provider with primary practice located at 2103 Broadway St , Cape Girardeau MO 63701-4401. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Spence, Terry Michael can be contacted via phone (573) 332-7223.

Contact Information

Primary practice address
2103 Broadway St Cape Girardeau MO 63701-4401
Phone: (573) 332-7223
Fax: (573) 334-7379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 015924 Missouri

Profile Details

NPI number 1215259429
LBN Legal business name Spence, Terry Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2010
Last updated Jul 5th, 2011 - about 14 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 1215259429 NPPES
Missouri Other 27-1535914 TAX ID #

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