Provider Demographics
NPI:1588703219
Name:SPOOR, RHYS D (DDS)
Entity type:Individual
Prefix:DR
First Name:RHYS
Middle Name:D
Last Name:SPOOR
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 1:701 5TH AVE
Mailing Address - Street 2:SUITE 4660
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-7097
Mailing Address - Country:US
Mailing Address - Phone:206-682-8200
Mailing Address - Fax:206-386-5099
Practice Address - Street 1:701 5TH AVE
Practice Address - Street 2:SUITE 4660
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-7097
Practice Address - Country:US
Practice Address - Phone:206-682-8200
Practice Address - Fax:206-386-5099
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000058691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice