Jeffrey Alan Spence, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007781 Issued in VA

Practice address

40 Joshua LN
Palmyra, VA 22963-6208

Phone

(434) 589-6999

Fax

(434) 589-9561

NPI assigned

Nov 21, 2006

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)

Enrolled

Practice roles

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.

• Riccobene & Associates CC, DDS, PC

  • General Practice Dentistry
  • Palmyra, VA
  • NPI 1326701764
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1518032903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 JOSHUA LN",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229636208",
            "telephone_number": "434-589-6999",
            "fax_number": "434-589-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 JOSHUA LN",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229636208",
            "telephone_number": "434-589-6999",
            "fax_number": "434-589-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon K. Garrett-Redmond LLC
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• Joseph Shelton, NP
• Katherine Smyth, M.D.
• Southeastern Physical Therapy, Inc
• Nancy Hughes Staff
• James Colburn Steere, DDS
• Jodie L. Stellern, PT
• Tidewater Physical Therapy, LLC
• Vantage Medical Trans

• General Practice Dentistry in Palmyra, VA
• Providers in Palmyra, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.