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Contact Information

SPENCEBURZYNSKI LLC
2103 BROADWAY
CAPE GIRARDEAU, MO63701
 Phone: 573-332-7223
 Fax: 573-334-7379
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for SPENCEBURZYNSKI LLC

NPI # 1114631439
LBN Legal business name SPENCEBURZYNSKI LLC
Authorized official TERRY SPENCE - (OWNER/PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2023
Last updated 01/11/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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