Verlund K Spencer | Redding, CA • PECOS Search

Verlund K Spencer

Dentist

Dental Providers

2005 Court Street, Suite L, Redding, CA 96001

PECOS Enrollment

Based on the most recent information from CMS, provider Verlund K Spencer does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1578751004
Provider Type
Individual
Full Name
Spencer, Verlund K
Title
Dr.
Credential
DDS

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/10/2007
Last Updated
6/10/2008

Contact Information

Practice Location

2005 Court Street, Suite L, Redding, CA 96001

Unlisted Fax

Mailing Location

2005 Court Street, Suite L, Redding, CA 96001

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 024608 California