Individual
DR. ELLIOTT SPENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
206 WILMAR AVE, GRAND ISLAND, NE 68803-3559
(308) 384-7500
Mailing address
2750 COUNTY ROAD 21, BENNINGTON, NE 68007-8097
(402) 216-4211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2479
ND
1223G0001X
General Practice Dentistry
7852
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2022
Last updated
09/22/2024
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