Individual provider · Type 1 NPI

Spencer Louis Blumberg, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · Gainesville, FL

NPI number 1508358631 Active

Practice location

2121 NW 40th Ter Ste C
Gainesville, FL 32605-5814

Fax (352) 392-7609

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN23373 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1508358631

Spencer Louis Blumberg, DMD, MD's National Provider Identifier is 1508358631, issued on Jun 4, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gainesville, FL. The record was last updated on Jan 20, 2025.