Organization
DR KAITLYN SPENCER DMD PLLC
Active
Other names
Beacon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN SPENCER DMD (OWNER)
(252) 902-5949
Entity
Organization
Contact information
Practice address
124 BEACON DR STE B, WINTERVILLE, NC 28590-7864
(252) 689-6919
Mailing address
124 BEACON DR STE B, WINTERVILLE, NC 28590-7864
(252) 689-6919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/04/2022
Last updated
04/24/2024
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