NPI 1023684875
Spencer Valley
Practice location
- Address
- 62 Corporate Dr, Bangor, ME 04401-4387
- Phone
- (207) 947-7503
- Mailing address
- 46 Pine Valley Way, Brewer, ME 04412-2702
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1023684875
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Jun 2021
- Record last updated
- 2 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.