Organization
THOMAS M. SPIVEY, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M SPIVEY D.D.S.,P.A. (DENTIST)
(479) 963-2292
Entity
Organization
Contact information
Practice address
20 EAST SHORT MOUNTAIN STREET, PARIS, AR 72855
(479) 963-2292
Mailing address
20 EAST SHORT MOUNTAIN STREET, PARIS, AR 72855
(479) 963-2292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2335
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58946
BLUE CROSS BLUE SHIELD
AR
Enumeration date
09/24/2008
Last updated
09/24/2008
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