National Provider Identifier

Evan M Spencer, DDS

Evan M Spencer, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Albion, NY and a listed phone number of (585) 589-4325.

NPI 1124611801Albion, NYGeneral Practice Dentistry

Profile Overview

NPI
1124611801
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
February 14, 2021
Last Updated
August 16, 2022

Practice Location

  • 313 S Main St
  • Albion, NY 14411-1602

Phone: (585) 589-4325

Mailing Address

  • 1455 E Ridge RD
  • Rochester, NY 14621-2006

Specialties

  • General Practice Dentistry (1223G0001X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1124611801
Entity Type
Individual
Last Name
Spencer
First Name
Evan
Middle Name
M
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
1455 E Ridge RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-2006
Mailing Country
US
Mailing Phone
(585) 974-5045
Practice Street Address
313 S Main St
Practice City
Albion
Practice State
NY
Practice ZIP Code
14411-1602
Practice Country
US
Practice Phone
(585) 589-4325
Enumeration Date
February 14, 2021
Last Updated
August 16, 2022
Sex
Male
Sole Proprietor
No
Certification Date
August 15, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X), Student in an Organized Health Care Education/Training Program (390200000X)