MR. SPENCER ALEXANDER PATRICK (NPI# 1205987815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205987815 |
| Entity Type | Individual |
| Full Name | MR. SPENCER ALEXANDER PATRICK |
| Credential | DDS |
| Practice Address |
4480 N Cooper Lake Rd Se Suite 210 Smyrna GA 30082-4621 |
| Practice Telephone | 7708630005 |
| Practice Fax Number | 7704363404 |
| Mailing Telephone | 7708630005 |
| Mailing Fax Number | 7704363404 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN013020 | GA | Dental Providers |
| Street Address |
4480 N COOPER LAKE RD SE SUITE 210 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823184 | Michael D Simpson | Internal Medicine | 4480 N Cooper Lake Rd Se, Smyrna, GA 30082-4622 | 2005-10-05 |
| 1669767364 | Wellstar Medical Group, LLC | Clinic/Center | 4480 N Cooper Lake Rd Se, Suite 100, Smyrna, GA 30082-4622 | 2011-06-10 |
| 1023301033 | Wellstar Medical Group, LLC | Internal Medicine | 4480 N Cooper Lake Rd Se, Suite 201, Smyrna, GA 30082-4622 | 2011-05-24 |
| 1538467303 | Wellstar Medical Group, LLC | Allergy & Immunology | 4480 N Cooper Lake Rd Se, Ste. 101, Smyrna, GA 30082-4622 | 2011-03-03 |
| 1780985739 | Nanette Cook Md Ob-gyn PC | Clinic/Center | 4480 N Cooper Lake Rd Se, Suite 220, Smyrna, GA 30082-4622 | 2010-11-08 |
| 1528386349 | Wellstar Rheumatology, LLC | Internal Medicine | 4480 N Cooper Lake Rd Se, Suite 201, Smyrna, GA 30082-4622 | 2010-05-05 |
| 1174765853 | Elizabeth Jean Reardon | Nurse Practitioner | 4480 N Cooper Lake Rd Se, Suite 201, Smyrna, GA 30082-4622 | 2009-03-27 |
| 1295832004 | James K Smith | Internal Medicine | 4480 N Cooper Lake Rd Se, Smyrna, GA 30082 | 2006-09-20 |
| 1841245719 | Surabhi Arjunan | Internal Medicine | 4480 N Cooper Lake Rd Se, Suite 201, Smyrna, GA 30082-4622 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092573 | Next Level Dental, P.C. | Dentist | 693 President Pl Ste 101, Smyrna, TN 37167-8602 | 2020-04-21 |
| 1568932341 | Tennessee Dental Professionals, PC | Dentist | 1730 Lee Victory Pkwy, Smyrna, TN 37167-6674 | 2018-12-05 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1366939340 | Smyrna Family Dentistry Pllc | Dentist | 1450 Sam Davis Rd Ste 120, Smyrna, TN 37167-2754 | 2018-04-16 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1548680762 | Yewande O. Oye-somefun | Dentist | 440 Sam Ridley Pkwy W, Smyrna, TN 37167-2998 | 2014-04-27 |
| 1811229719 | Tennessee Dental Professionals PC | Dentist | 315 Sam Ridley Pkwy W, Smyrna, TN 37167-5625 | 2010-02-03 |
| 1134314941 | Robert Lynn Smith | Dentist | 1347 Rock Springs Rd, Smyrna, TN 37167-6108 | 2007-09-14 |
| 1720281108 | Roger T. Bell, Dds.pc | Dentist | 4450 S Cobb Dr Se, Smyrna, GA 30080-6329 | 2007-06-06 |
| 1043420797 | Roy H Johnson | Dentist | 997 Windy Hill Rd. Se, Suite C, Smyrna, GA 30080 | 2007-05-23 |
| Find all providers in SMYRNA | ||||
Please comment or provide details below to improve the information on MR. SPENCER ALEXANDER PATRICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.