Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN MITCHELL SPAVOR, D.D.S.
ActiveDR. JORDAN MITCHELL SPAVOR, D.D.S. is a Dentist healthcare provider located in LAWRENCE, Michigan. NPI 1043983562 is currently active in the NPPES registry. Verify at CMS.
Dentist · LAWRENCE, MI
Registration Details
- NPI Number
- 1043983562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2021 (5.0789947583252 yrs)
- Last Updated
- Jul 29, 2021
- License
-
2901601054 (MI)
Practice Information
- Address
-
260 SOUTH STLAWRENCE, MI, 490649325Browse MI providers · Browse ZIP 49064
- Phone
- 2696213143
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.