Home » Virginia » 23336 » Teddy H Spence, Dds, Pllc

Teddy H Spence, Dds, Pllc

Teddy H Spence, Dds, Pllc is a health care provider in Chincoteague Island, VA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 3897 Main St, Chincoteague Island, VA 23336-1809, US
Practice Location Phone757-336-5116
Practice Location Fax757-336-2227
Legal Business NameTEDDY H SPENCE, DDS, PLLC
Other Organization NameISLAND DENTAL
Other Organization Name TypeDoing Business As Name
NPI ?1013320688
Entity TypeOrganization
Enumeration Date ? Jun 11, 2014
Last Update Date ? Jun 11, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Teddy H Spence, Dds, Pllc

SpecialtySpecializationLicenseLicense State
DentistGeneral Practice 0401005191Virginia

legacy-id-icon Legacy Provider IDs of Teddy H Spence, Dds, Pllc

Provider IdIssuer StateIssuer TypeIssuer
1417977158VirginiaOtherNPI
0401005191VirginiaOtherDENTAL LICENSE
2136095645751VirginiaMedicaid

official-icon Authorized Official of Teddy H Spence, Dds, Pllc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Teddy H Spence, Dds, Pllc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Ellen Kellam Spence
Authorized Official Title/PositionOFFICE MANAGER
Authorized Official Phone Number757-336-5116