Individual
DR. EVAN M SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
313 S MAIN ST, ALBION, NY 14411-1602
(585) 589-4325
Mailing address
1455 E RIDGE RD, ROCHESTER, NY 14621-2006
(585) 974-5045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
062595
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2021
Last updated
08/16/2022
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