Individual
SPENCER ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-7500
Mailing address
427 MISSION ST, SAN ANTONIO, TX 78210-1239
(571) 232-8163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401414255
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
061690
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
39236
TX
Other
Enumeration date
01/13/2015
Last updated
04/18/2023
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