DR. MICHAEL JAMES SPENCER DDS - NPI 1801959325 - Dentist in St Louis Park, MN

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Dr. Michael James Spencer Dds NPPES

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

DR. MICHAEL JAMES SPENCER DDS (NPI 1801959325) is an individual general practice provider in St Louis Park, Minnesota, licensed in Minnesota (D8018) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1801959325

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MICHAEL JAMES SPENCERCredential: DDS

Location Address3401 WOODDALE AVE SSt Louis Park, MN 55416-2340

Mailing Address3401 Wooddale Ave SSt Louis Park, MN 55416-2340 · (952) 929-3336 · Fax (952) 929-3338

Phone(952) 929-3336

Fax(952) 929-3338

Sole ProprietorNo

Enumeration DateDecember 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1801959325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D8018

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.

3401 WOODDALE AVE S, St Louis Park, MN 55416

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