Individual
DR. CHERYL ANN HODGE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
124 SOUTH STREET, BRIDGEWATER, MA 02324-2425
(508) 697-3315
(508) 697-0128
Mailing address
124 SOUTH STREET, BRIDGEWATER, MA 02324-2425
(508) 697-3315
(508) 697-0128
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13827
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11963
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/08/2007
Last updated
07/08/2007
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