Provider Type Icon

TEDDY H SPENCE DDS PLLC NPI 1013320688


NPI Information

NPI: 1013320688
Provider Name: TEDDY H SPENCE, DDS, PLLC

Doing Business As: ISLAND DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3897 MAIN ST
CHINCOTEAGUE ISLAND, VA
ZIP 23336
Phone: (757) 336-5116
Get Directions

TEDDY H SPENCE, DDS, PLLC is a general practice dentist in Chincoteague Island, VA. The provider is 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. TEDDY H SPENCE, DDS, PLLC NPI is 1013320688. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Island Dental.

The provider's business location address is:

3897 MAIN ST
CHINCOTEAGUE ISLAND, VA
ZIP 23336-809
Phone: (757) 336-5116
Fax: (757) 336-2227

The provider's authorized official is Ellen Kellam Spence .
The authorized official title is Office Manager and has the following contact phone number (757) 336-5116.

The enumeration date for this NPI number is 6/11/2014 and was last updated on 6/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice0401005191VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12136095645751MEDICAIDVIRGINIA
20401005191OTHERVIRGINIADENTAL LICENSE
31417977158OTHERVIRGINIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.