Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SPENCER WESLEY MULLENAUX
Active Sole ProprietorSPENCER WESLEY MULLENAUX is a Pediatric Dentistry healthcare provider located in GRANDVIEW, Missouri. NPI 1528565256 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · GRANDVIEW, MO
Registration Details
- NPI Number
- 1528565256
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2018 (8.3779488979907 yrs)
- Last Updated
- Jul 1, 2023
- License
-
2020014068 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12414 S US HIGHWAY 71GRANDVIEW, MO, 640301733Browse MO providers · Browse ZIP 64030
- Phone
- 8163077000
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
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.