Clark Allison Spencer, DDS MSD

Dentist · Longview, TX

Individual Active NPI

NPI number 1578675237

Practice location

2904 North Fourth Street
Suite 107
Longview, TX 75605
Phone
(903) 757-0534
Fax
(903) 757-7461

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NPI record

NPI
1578675237
Entity type
Individual (Type 1)
Enumeration date
August 31, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 11536 TX

About Clark Spencer

Clark Allison Spencer, DDS MSD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2904 North Fourth Street, Suite 107, Longview, TX 75605. The NPI number 1578675237 was assigned on August 31, 2006 and the record was last updated on July 8, 2007.

Clark Spencer lists a license in the registry: #11536 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clark Allison Spencer, DDS MSD?

The NPI number is 1578675237.

What is the phone number of Clark Spencer?

The phone number listed for the practice location is (903) 757-0534.

Where is Clark Spencer located?

2904 North Fourth Street, Suite 107, Longview, TX 75605.

What is the taxonomy code for Clark Spencer?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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