Spencer, James R

Spencer, James R is an individual health care provider with primary practice located at 244 Le Phillip Ct , Concord NC 28025-2954. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Spencer, James R can be contacted via phone (704) 786-8317.

Contact Information

Primary practice address
244 Le Phillip Ct Concord NC 28025-2954
Phone: (704) 786-8317
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4955 North Carolina

Profile Details

NPI number 1043339104
LBN Legal business name Spencer, James R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 18 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 1043339104 NPPES
North Carolina Other 545751 UNITED CONCORDIA
North Carolina MEDICAID 8998024 UNITED CONCORDIA
North Carolina Other 98024 UNITED CONCORDIA

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