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Jordan Spencer, DDS
NPI 1649495458 · on the registry since 2007
Practice
- Address
- 826 W Lincoln Ave
Charleston, IL 61920 - Phone
- (217) 345-1315
- Fax
- (217) 345-1291
- Organisation at this address
- Dental Professionals Of Illinois, P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois