Individual
DOUGLAS JOHN SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
411 POPLAR STREET, ATLANTIC, IA 50022
(712) 243-6545
(712) 243-9739
Mailing address
411 POPLAR STREET, ATLANTIC, IA 50022
(712) 243-6545
(712) 243-9739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05593
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070102
—
IA
Enumeration date
11/29/2006
Last updated
07/08/2007
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