Individual
CRAIG C SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
608 3RD AVE, SAINT ALBANS, WV 25177-1849
(304) 722-2906
(304) 722-6103
Mailing address
608 3RD AVE, SAINT ALBANS, WV 25177-1849
(304) 722-2906
(304) 722-6103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2760
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
475146
UNITED CONCORDIA PROVIDER
PA
Enumeration date
02/09/2007
Last updated
07/08/2007
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