Individual
DENNIS ROSS SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
700 OLYMPIC PLAZA CIR STE 412, TYLER, TX 75701-1952
(903) 595-5186
(903) 595-5240
Mailing address
700 OLYMPIC PLAZA CIR STE 412, TYLER, TX 75701-1952
(903) 595-5186
(903) 595-5240
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0808586-01
—
TX
05
—
1305898-04
—
TX
05
—
1305898-05
—
TX
Enumeration date
11/15/2006
Last updated
07/09/2007
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