# THOMAS M. SPIVEY, D.D.S., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417107632
- **Authorized official:** DR. THOMAS M SPIVEY D.D.S.,P.A. (DENTIST)
- **Authorized official phone:** (479) 963-2292

## Contact information

- **Practice address:** 20 EAST SHORT MOUNTAIN STREET, PARIS, AR 72855
- **Practice address phone:** (479) 963-2292
- **Mailing address:** 20 EAST SHORT MOUNTAIN STREET, PARIS, AR 72855
- **Mailing address phone:** (479) 963-2292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2335 | AR | Yes |

## Other

- **Enumeration date:** 09/24/2008
- **Last updated:** 09/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 58946 | BLUE CROSS BLUE SHIELD | AR |