Individual
DR. SPENCER SCOTT GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6700
Mailing address
46342 BARTLETT DR, CANTON, MI 48187-1523
(801) 810-8562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602817
MI
1223G0001X
General Practice Dentistry
12326483-9922
UT
390200000X
Student in an Organized Health Care Education/Training Program
2951001006
MI
Other
Enumeration date
07/20/2021
Last updated
07/31/2026
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