Individual provider · Type 1 NPI
Spencer Wesley Mullenaux
Pediatric Dentistry · Grandview, MO
NPI number
1528565256
Active
Practice location
12414 S US Highway 71
Grandview, MO 64030-1733
Mailing address
810 Eve Orchid Dr
Greenwood, MO 64034-7802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 2020014068 (MO) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
About NPI 1528565256
Spencer Wesley Mullenaux's National Provider Identifier is 1528565256, issued on Apr 10, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Grandview, MO. The record was last updated on Jul 1, 2023.