SPENCER J ELMORE (NPI# 1285824359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285824359 |
| Entity Type | Individual |
| Full Name | SPENCER J ELMORE |
| Credential | D.D.S, M.S. |
| Practice Address |
1053 Rondale Court Dardenne Prairie MO 63368 |
| Practice Telephone | 6363794500 |
| Practice Fax Number | 6362724551 |
| Mailing Telephone | 6363794500 |
| Mailing Fax Number | 6362724551 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2011-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
2011025531 | MO | Dental Providers |
| Street Address |
1053 RONDALE COURT |
| City | DARDENNE PRAIRIE |
| State | MO |
| Zip Code | 63368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841218807 | Shelly Lynn Sarich | Dentist | 1053 Rondale Court, Dardenne Prairie, MO 63368 | 2006-07-18 |
| 1437367000 | Shelly L. Sarich D.d.s., M.s., P.C. | Dentist | 1053 Rondale Court, Dardenne Prairie, MO 63368 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720412463 | Shelly L. Sarich Dds,ms and Spencer Elmore Dds, Ms, PC | Dentist | 1053 Rondale Ct, Dardenne Prairie, MO 63368-7368 | 2013-08-29 |
| 1841218807 | Shelly Lynn Sarich | Dentist | 1053 Rondale Court, Dardenne Prairie, MO 63368 | 2006-07-18 |
| 1437367000 | Shelly L. Sarich D.d.s., M.s., P.C. | Dentist | 1053 Rondale Court, Dardenne Prairie, MO 63368 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185045 | Daniel G Stamos Dds PC | Dentist | 5400 N Oak Trfy Ste 201, Kansas City, MO 64118-4690 | 2020-08-18 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1366993719 | Bryan Allgeier | Dentist | 3941 Bowen St, Saint Louis, MO 63116 | 2016-10-20 |
| 1811373764 | Susan S Adams | Dentist | 1321 Veterans Blvd, Festus, MO 63028-2329 | 2015-08-03 |
| 1316222961 | Endodontic Associates, LLC | Dentist | 1431 Us Highway 61 South, Festus, MO 63028 | 2011-10-14 |
| 1770713265 | Endodontics South, Ltd | Dentist | 1431 Us Hwy 61 So, Festus, MO 63028 | 2009-07-20 |
| 1346483211 | Gregory Joe Powell | Dentist | 12255 De Paul Dr., Ste 885, Bridgeton, MO 63044 | 2009-04-08 |
| 1992955405 | Greater Springfield Endodontics Partnership | Dentist | 2808 S Ingram Mill Rd, Building C108, Springfield, MO 65804-4079 | 2008-09-22 |
| 1184816431 | Pearline, Dds & Roach, Dmd, PC | Dentist | 777 S New Ballas Rd Ste 201w, Saint Louis, MO 63141-8717 | 2007-08-10 |
| 1437357282 | Bradley S. Laird | Dentist | 2805 E 29th St, Joplin, MO 64804-3305 | 2007-07-03 |
| Find all providers with the same taxonomy | ||||
| City | DARDENNE PRAIRIE |
| Zip Code | 63368 |
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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.