DR. SPENCER C WIRIG (NPI# 1801948484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801948484 |
| Entity Type | Individual |
| Full Name | DR. SPENCER C WIRIG |
| Credential | D.M.D. |
| Practice Address |
90 Hope Dr Mountain Home A F B ID 83648-1057 |
| Practice Telephone | 2088287300 |
| Mailing Telephone | 2088287300 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D-4020 | ID | Dental Providers |
| Street Address |
90 HOPE DR |
| City | MOUNTAIN HOME A F B |
| State | ID |
| Zip Code | 83648-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676239 | Mary Dolores Dvorak | Internal Medicine | 90 Hope Dr, 366 Mdg/sgh, Mountain Home A F B, ID 83648-1057 | 2005-08-19 |
| 1811270697 | Travis Wade Cronin | Social Worker | 90 Hope Dr, Mountain Home A F B, ID 83648-1057 | 2011-09-27 |
| 1669765871 | April Denise Paciotti | Military Health Care Provider | 90 Hope Dr, Bld 6000, Mountain Home A F B, ID 83648-1057 | 2011-05-20 |
| 1467773903 | Amy Jo Hicks | Social Worker | 90 Hope Dr, Bldg. 6000, Mountain Home A F B, ID 83648-1057 | 2010-06-18 |
| 1265627319 | Jennifer Lynn Hudson | Obstetrics & Gynecology | 90 Hope Dr, 366 Medical Group, Women's Health, Mountain Home A F B, ID 83648-1057 | 2007-09-12 |
| 1679654149 | Darrell Zaugg | Family Medicine | 90 Hope Dr, Bldg 6000, Mountain Home A F B, ID 83648-1057 | 2006-10-18 |
| 1780648485 | David Albert Wood | Family Medicine | 90 Hope Dr, Mountain Home A F B, ID 83648-1057 | 2006-04-12 |
| 1346229432 | Yvette L. Ward | Psychologist | 90 Hope Dr, Bldg #6000, Mountain Home A F B, ID 83648-1057 | 2006-01-17 |
| 1598747701 | Bonnie Lea Mack | Nurse Anesthetist, Certified Registered | 90 Hope Dr, Mountain Home A F B, ID 83648-1057 | 2005-11-15 |
| 1831185081 | Mikel W Phillips | Registered Nurse | 90 Hope Dr, Mountain Home A F B, ID 83648-1057 | 2005-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851528392 | Amy Jo Glover | Military Health Care Provider | 90 Hope Dr. Bldg 6000, Mountain Home, ID 83648 | 2009-06-11 |
| 1306051065 | Thomas Michael Smith | Social Worker | 90 Hope Dr Bldg 1900, Mountain Home Afb, ID 83648 | 2007-05-14 |
| 1316005143 | Ronald Wesley Bailey | Radiology | Mountain Home Afb Medical Group, 90 Hope Drive, Building 6000, Mountain Home Afb, ID 83648 | 2006-12-05 |
| 1992780597 | Randall Jay Moore | Preventive Medicine | 366mdg/sgpf, 90 Hope Drive; Bldg 6000, Mountain Home Afb, ID 83648 | 2005-12-07 |
| 1356325666 | Joseph Carroll Skinner Jr. | Nurse Anesthetist, Certified Registered | 366 Mdos, Sgosa, 90 Hope Drive, Mountain Home Afb, ID 83648 | 2005-11-30 |
| 1023007846 | Craig Loyd Folsom | Dentist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 | 2005-10-14 |
| 1477547271 | Ron Stumbo | Pharmacist | Mountain Home Afb, Mountain Home Afb, ID 83648 | 2005-09-07 |
| 1154315943 | Georgette Ann Trezvant | Social Worker | 366 Medical Operations Squadron, 90 Hope Drive, Bldg 6000, Mt. Home Air Force Base, ID 83648 | 2005-09-07 |
| 1164893202 | Craig Jensen | Optometrist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 | 2015-10-15 |
| 1730582438 | Kyle Christensen | Dentist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 | 2014-10-08 |
| Find all providers in zip 83648 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
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|---|---|---|---|---|
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| 1548887136 | Bald 1 Sleep Solutions LLC | Dentist | 790 N Meridian St, Blackfoot, ID 83221-4936 | 2020-06-29 |
| 1346870144 | Sleep Better Idaho LLC | Dentist | 3200 N Leslie Way, Meridian, ID 83646-5362 | 2020-01-21 |
| 1083269443 | Zachary Miller | Dentist | 700 W Ironwood Dr Ste 241, Coeur D Alene, ID 83814-4404 | 2019-08-02 |
| 1639723778 | Lindsey N R Gross | Dentist | 1800 Lincoln Way Ste 100, Coeur D Alene, ID 83814-2570 | 2019-07-26 |
| 1093369241 | Daniel Bryan Ackerman | Dentist | 10200 W Emerald St Ste 105, Boise, ID 83704-8900 | 2019-07-26 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1811419930 | Kasey Hendricks | Dentist | 322 East Main St., St. Anthony, ID 83445 | 2017-07-11 |
| 1659805075 | Ryan Michael Leininger | Dentist | 205 W Highway 95, Parma, ID 83660-5519 | 2017-04-12 |
| 1346789534 | Summit Dental Care Paul, Pllc | Dentist | 207 W Ellis Street, Paul, ID 83347 | 2017-02-21 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME A F B |
| Zip Code | 83648 |
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| 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.