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Dr. Evelyn Spencer, DMD

Dentist, Periodontics in Fairfield, CT. Individual provider (NPI-1).

NPI number1326616319
StatusActive
Last updated in NPPESOct 4, 2024

Details

NPI
1326616319
Entity type
Individual (NPI-1)
Name
Dr. Evelyn Spencer
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 15, 2021
Certification date
Oct 4, 2024
Last updated
Oct 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics14217CTYes
1223P0300X Dentist, Periodontics064378NY

Practice location

1047 Old Post Rd
Fairfield, CT 06824-5906

Phone 203-254-2006

Mailing address

1047 Old Post Rd
Fairfield, CT 06824-5906

Phone 203-254-2006

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Other Periodontics providers in Fairfield, CT

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