Individual
DR. SPENCER S. BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS., MSD
Contact information
Practice address
14997 W BELL RD, STE. 150, SURPRISE, AZ 85374-3209
(623) 977-0707
(623) 977-1176
Mailing address
14997 W BELL RD, STE. 150, SURPRISE, AZ 85374-3209
(623) 977-0707
(623) 977-1176
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D6096
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01821553
UNITED CONCORDIA PROVIDER
AZ
Enumeration date
08/08/2006
Last updated
07/09/2007
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