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NPI Code Detail

MEDICARE: SPENCER B. HOWARD D.D.S

MEDICARE: SPENCER B. HOWARD D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number : 1801173034
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPENCER B. HOWARD D.D.S
Provider Business Mailing Address
First Line : 2003 EAST NC HWY 54
Second Line :
City : DURHAM
State : NC
Zip : 27713
Country : US
Telephone Number : 919-682-4667
Fax Number :
Provider Business Practice Location Address
First Line : 2003 E NC HIGHWAY 54
Second Line :
City : DURHAM
State : NC
Zip : 27713-2482
Country : US
Telephone Number : 919-682-4667
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. SPENCER BRIAN HOWARD
Credential : D.D.S
Telephone Number : 919-450-7486
Provider Enumeration Date : 11/16/2011
Last Update Date : 11/16/2011

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Directions to “SPENCER B. HOWARD D.D.S ” Practice Location

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