Organization
JACK D SPENCER,DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK DAVID SPENCER DMD (OWNER)
(412) 835-2288
Entity
Organization
Contact information
Practice address
180 FORT COUCH RD, ST 415, PITTSBURGH, PA 15241-1041
(412) 835-2288
Mailing address
180 FORT COUCH RD, ST 415, PITTSBURGH, PA 15241-1041
(412) 835-2288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 021308-L
PA
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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