# SPENCER ROGERS DMD PLLC

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

## Provider details

- **NPI number:** 1962357830
- **Authorized official:** CHRISTINE BARBER (PROVIDER ENROLLMENT MANAGER)
- **Authorized official phone:** (315) 454-6000

## Contact information

- **Practice address:** 8321 W OVERLAND RD, BOISE, ID 83709-1640
- **Practice address phone:** (208) 605-3638
- **Practice address fax:** (208) 375-2999
- **Mailing address:** PO BOX 70887, CLEVELAND, OH 44190-0887
- **Mailing address phone:** (315) 454-6000
- **Mailing address fax:** (315) 410-5531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2026
- **Last updated:** 03/04/2026