Individual
DR. DANIEL EMERSON SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
330 VERMONT ST STE 100, QUINCY, IL 62301-2700
(217) 222-8440
Mailing address
501 COTTONWOOD RD, FRANKFORT, IL 60423-1009
(815) 953-1655
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
019-032602
IL
1223G0001X
General Practice Dentistry
019-032602
IL
Other
Enumeration date
06/01/2020
Last updated
07/22/2020
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