Individual provider · Type 1 NPI

Jordan Spencer, DDS

Dentist · Charleston, IL

NPI number 1649495458 Active

Practice location

826 W Lincoln Ave
Charleston, IL 61920-2464

Fax (217) 345-1291

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1649495458

Jordan Spencer, DDS's National Provider Identifier is 1649495458, issued on Apr 16, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Charleston, IL. The record was last updated on Jul 8, 2007.