MR. SPENCER ALEXANDER PATRICK DDS
NPI 1205987815
Dentist - General Practice in Smyrna, GA

Active since January 12, 2007
4480 N COOPER LAKE RD SE, SUITE 210, SMYRNA, GA 30082(770) 863-0005(770) 436-3404 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Spencer Alexander Patrick Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SPENCER ALEXANDER PATRICK DDS (NPI 1205987815) is an individual general practice provider in Smyrna, Georgia, licensed in Georgia (DN013020) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1205987815
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. SPENCER ALEXANDER PATRICKCredential: DDS
Location Address4480 N COOPER LAKE RD SE, SUITE 210Smyrna, GA 30082-4621
Mailing Address4480 N Cooper Lake Rd Se, Suite 210Smyrna, GA 30082-4621 · (770) 863-0005 · Fax (770) 436-3404
Fax(770) 436-3404
Sole ProprietorNo
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJune 3, 2008
NPI 1205987815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN013020
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4480 N COOPER LAKE RD SE, Smyrna, GA 30082

Accepted Insurance

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Rheumatology)
4480 N COOPER LAKE RD SE, SUITE 201
SMYRNA, GA 30082
Internal Medicine
4480 N COOPER LAKE RD SE
SMYRNA, GA 30082
Internal Medicine (Rheumatology)
4480 N COOPER LAKE RD SE
SMYRNA, GA 30082
Internal Medicine (Rheumatology)
4480 N COOPER LAKE RD SE, SUITE 201
SMYRNA, GA 30082
Allergy & Immunology
4480 N COOPER LAKE RD SE, STE. 101
SMYRNA, GA 30082
Clinic/Center (Urgent Care)
4480 N COOPER LAKE RD SE, SUITE 100
SMYRNA, GA 30082
Internal Medicine
4480 N COOPER LAKE RD SE, SUITE 201
SMYRNA, GA 30082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Patrick's NPI number?

The NPI number for Spencer Patrick is 1205987815. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Spencer Patrick located?

Spencer Patrick practices at 4480 N Cooper Lake Rd SE Suite 210, Smyrna, GA 30082. The listed phone number is (770) 863-0005.

What is Spencer Patrick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Spencer Patrick accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Spencer Patrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spencer Patrick was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.