Organization
SPENCER GORDY DDS PA
Active
Other names
Dental Designs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER GORDY DDS (PRESIDENT/CEO)
(501) 733-1677
Entity
Organization
Contact information
Practice address
550 CHESTNUT ST, CONWAY, AR 72032-5402
(501) 329-8754
Mailing address
550 CHESTNUT ST, CONWAY, AR 72032-5402
(501) 329-8754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3926
AR
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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