Individual
DR. JORDAN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
826 W LINCOLN AVE, CHARLESTON, IL 61920-2464
(217) 345-1315
(217) 345-1291
Mailing address
826 W LINCOLN AVE, CHARLESTON, IL 61920-2464
(217) 345-1315
(217) 345-1291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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