Individual
DR. RICHARD W SPENCER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1511 ROBINSON RD, OLD HICKORY, TN 37138-2811
(615) 847-8111
(615) 847-8167
Mailing address
1511 ROBINSON RD, OLD HICKORY, TN 37138-2811
(615) 847-8111
(615) 847-8167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4149
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041368
BLUE CROSS BLUE SHIELD
TN
01
—
470245
UNITED CONCORDIA
TN
Enumeration date
06/15/2006
Last updated
07/08/2007
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