Spencer John Shoff, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

021002622 Issued in IL

Practice address

1200 Hampshire St
Quincy, IL 62301-3109

Phone

(217) 228-0536

NPI assigned

Sep 9, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affordable Dentures & Implants of Georgia III, LLC

  • General Practice Dentistry
  • Brunswick, GA
  • NPI 1336855469
  NPD
• Quincy Dental Specialists

  • Dentist
  • Quincy, IL
  • NPI 1215126875
  NPD (past)
• Danny Adkins, D.D.S.

  • Periodontics
  • Knoxville, TN
  • NPI 1295157519
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1003198680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WILLIAM ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111939",
            "telephone_number": "912-650-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HAMPSHIRE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013109",
            "telephone_number": "217-228-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOFF",
        "first_name": "SPENCER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-09",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021002622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin MJ Sheffield, D.D.S.
• Stephanie Shepherd, BS
• Michelle Sheppard, CNA
• Donna Shields, NP
• Nicole Antoinette Shields, MS, LCPC, QMHP
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC
• Kyla R Shultz, FNP-C
• Amy Rose Siebers, MS, CCC-SLP
• Judith Marie Siebers

• Periodontics in Quincy, IL
• Providers in Quincy, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.