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General NPI Number Information
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NPI Number | 1164918843
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Entity Type | Individual
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Provider Name | SPENCER WRIGHT DMD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 426 LOVERS LN
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City | BOWLING GREEN
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State | KY
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Zip | 42103-8135
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Country | US
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Telephone | 270-842-3837
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Fax | 270-599-1211
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Provider Business Mailing Address
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Address Line | 426 LOVERS LN
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City | BOWLING GREEN
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State | KY
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Zip | 42103-8135
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Country | US
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Telephone | 270-842-3837
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Fax | 270-599-1211
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10475
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License Number State | KY
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