Individual
DR. RICHARD GLEN SPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
79132 HWY 40, COVINGTON, LA 70435
(985) 893-3900
(985) 893-2910
Mailing address
17517 MILLION DOLLAR RD., COVINGTON, LA 70435
(985) 892-7665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4117
TN
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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