Individual provider · Type 1 NPI

Gregory Keith Spackman, DDS MBA

Oral and Maxillofacial Surgery (Dentist) · San Antonio, TX

NPI number 1790785061 Active

Practice location

7703 Floyd Curl Dr
San Antonio, TX 78229-3901

Call (210) 567-3477 Map

Fax (210) 567-3493

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X17454 (TX)

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 1790785061

Gregory Keith Spackman, DDS MBA's National Provider Identifier is 1790785061, issued on Jul 28, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Antonio, TX. The record was last updated on Jan 28, 2014.