Dr. Spencer Reid Fair, DMD
Dentist in Rock Hill, SC. Individual provider (NPI-1).
NPI number1164099479
StatusActive
Last updated in NPPESJun 6, 2021
Details
- NPI
- 1164099479
- Entity type
- Individual (NPI-1)
- Name
- Dr. Spencer Reid Fair
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2021
- Certification date
- Jun 6, 2021
- Last updated
- Jun 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 9912 | SC | Yes |
Practice location
1334 Ebenezer RdRock Hill, SC 29732-2337
Phone 803-902-4518
Mailing address
327 W Tremont Ave Apt 134Charlotte, NC 28203-6159
Phone 859-421-5705
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