Spencer, Dena J

Spencer, Dena J is an sole proprietor health care provider with primary practice located at 534 Main St , West Chicago IL 60185-2843. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Spencer, Dena J can be contacted via phone (630) 876-9200.

Contact Information

Primary practice address
534 Main St West Chicago IL 60185-2843
Phone: (630) 876-9200
Fax: (630) 876-9201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1326219684
LBN Legal business name Spencer, Dena J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2008
Last updated Mar 14th, 2008 - about 16 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 1326219684 NPPES
Illinois MEDICAID 9176645

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