Provider Demographics
NPI:1194749937
Name:SPAINHOUR, STEPHEN E (DDS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:E
Last Name:SPAINHOUR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8917 FARGO RD STE A
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4500
Mailing Address - Country:US
Mailing Address - Phone:804-747-7001
Mailing Address - Fax:
Practice Address - Street 1:8917 FARGO RD STE A
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4500
Practice Address - Country:US
Practice Address - Phone:804-747-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401006979122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist