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NPI Code Detail

MEDICARE: DR. SPENCER DAIL DMD

MEDICARE:  DR. SPENCER  DAIL  DMD
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
1122300000XDentist10055NC

General Provider Information

NPI Number : 1922483650
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SPENCER DAIL DMD
Provider Business Mailing Address
First Line : 6 PROFESSIONAL DR
Second Line :
City : SNOW HILL
State : NC
Zip : 28580-1333
Country : US
Telephone Number : 252-747-3846
Fax Number :
Provider Business Practice Location Address
First Line : 6 PROFESSIONAL DR
Second Line :
City : SNOW HILL
State : NC
Zip : 28580-1333
Country : US
Telephone Number : 252-747-3846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2015
Last Update Date : 07/23/2015

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Directions to “ DR. SPENCER DAIL DMD” Practice Location

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