Elizabeth D. Spence, D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.027445 Issued in IL

Legal business name

ELIZABETH D. SPENCE, D.M.D., P.C.

Practice address

5149 Main St
Downers Grove, IL 60515-4615

Phone

(630) 541-3486

NPI assigned

Apr 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Drew Spence, D.M.D.

Title

Owner

Phone

(630) 541-3486

Specialties & licenses 1

Addresses

Other names 1

• Smile Downers Grove Doing business as

Locations

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1376961482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5149 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154615",
            "telephone_number": "630-541-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 MAIN ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154615",
            "telephone_number": "630-541-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH D. SPENCE, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-541-3486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Downers Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Egofske
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• Sarah M El-Khazendar, OD
• Osama A El-Shafie, MD
• Christine M Ellis
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• Jared Elwart, LCSW
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• General Practice Dentistry in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.