DR. SPENCER LOUIS BLUMBERG


Address: 1600 Sw Archer Rd., Rm. D7-6, Gainesville, FL 32610
Phone: 3522736750

DR. SPENCER LOUIS BLUMBERG (NPI# 1508358631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508358631
Entity Type Individual
Full Name DR. SPENCER LOUIS BLUMBERG
Credential D.M.D.
Practice Address 1600 Sw Archer Rd.
Rm. D7-6
Gainesville
FL 32610
Mailing Address 1600 Sw Archer Rd Rm D7-6
Gainesville
FL 32610-0416
Practice Telephone 3522736750
Practice Fax Number 3523927609
Mailing Telephone 3522736750
Mailing Fax Number 3523927609
Enumeration Date 2018-06-04
Last Update Date 2018-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DN23373 FL Dental Providers

Office Location

Street Address 1600 SW ARCHER RD.
RM. D7-6
City GAINESVILLE
State FL
Zip Code 32610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649230897 Anna Liza O Co Radiology 1600 Sw Archer Rd., University of Florida/radiology Rm G393, Gainesville, FL 32610 2006-03-23
1487050621 Naomi L. Sullivan Nurse Practitioner 1600 Sw Archer Rd., Box 100296, Gainesville, FL 32610-0296 2014-11-17
1952749756 Elmer Leonard Riley IIi Internal Medicine 1600 Sw Archer Rd., Gainesville, FL 32610 2013-06-13
1467739011 Chintan Pareshbhai Shah Internal Medicine 1600 Sw Archer Rd., Box 100238, Gainesville, FL 32610-0238 2011-11-10
1407164320 Naykky Maruquel Singh Ospina Internal Medicine 1600 Sw Archer Rd., Box 100226, Gainesville, FL 32610-0226 2010-09-14
1972810067 Daniel Edward Torres Dentist 1600 Sw Archer Rd., Gainesville, FL 32610-0405 2010-09-10
1154633964 Liping Liu Pathology 1600 Sw Archer Rd., Box 100275, Gainesville, FL 32610-0275 2010-07-09
1295856987 Julio Alberto Leey-casella Internal Medicine 1600 Sw Archer Rd., Box 100226, Gainesville, FL 32610-0226 2007-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003440660 Thy Cam Huynh Occupational Therapist 1549 Gale Lemerand Dr, Gainesville, FL 32610 2020-02-23
1093359226 Lauren Anne Ruddocks Dentist University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 2019-10-31
1104310549 Brandon Lucke-wold Neurological Surgery 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 2018-06-19
1619465754 Carlos Eduardo Vervloet Sollero Student in an Organized Health Care Education/Training Program 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 2018-04-24
1811359151 Ramsha A. Kudia Internal Medicine 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 2016-03-25
1447619937 Wajdi Mohammed Dentist 1395 Center Dr., D8-6, Gainesville, FL 32610 2016-02-12
1922484344 Kavan Ashit Gandhi Dentist 1395 Center Drive D7-19, Gainesville, FL 32610 2015-08-07
1972981512 David Shin Student in an Organized Health Care Education/Training Program 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 2015-05-15
1669887485 Alejandro Jose Delgado Dentist 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 2014-07-01
1194167296 Zain Shahid Student in an Organized Health Care Education/Training Program 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 2013-07-18
Find all providers in zip 32610

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053979997 Anand R Patel Dentist 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 2019-06-05
1013251065 Hamad A Alharbi Dentist 1395 Center Drive Oral and Maxillofacial Surgery, Gainesville, FL 32610-1005 2012-11-15
1306108865 W Jones Phillips Dds PC Dentist 698 Medical Park Ln, Gainesville, GA 30501-2084 2012-06-11
1376821777 Williamson T. Ratliff Dentist 2121 Nw 40th Ter Ste C, Gainesville, FL 32605-5814 2011-08-02
1750524351 Neeraj Ravindra Nagella Dentist 3736 Nw 27th St, Gainesville, FL 32605-2074 2009-04-13
1538338439 Marvin Slott Dds Pa Dentist 6801 Nw 9th Blvd Ste 1, Gainesville, FL 32605-4263 2008-02-25
1376615880 Nevil Phillip Bush Dentist 1221 A Sherwood Park Dr Ne, Gainesville, GA 30501 2006-11-14
1023117629 Philip Erich Koch Dentist 1221 Sherwood Park Drive, Suite B, Gainesville, GA 30501 2006-09-21
1578674271 Fred H Simonton IIi Dentist 1221 Sherwood Park Dr Ne Ste C, Gainesville, GA 30501-3404 2006-08-31
1336174846 Caton & Taylor Pa Dentist 2121 Nw 40th Terrace, Ste C, Gainesville, FL 32605 2006-07-12
Find all providers in GAINESVILLE

Competitor

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City GAINESVILLE
Zip Code 32610

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Dataset Information

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.

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