Provider Demographics
NPI:1366418162
Name:SPURLING, KENT JAMES (DMD)
Entity type:Individual
Prefix:DR
First Name:KENT
Middle Name:JAMES
Last Name:SPURLING
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 E MCKELLIPS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213
Mailing Address - Country:US
Mailing Address - Phone:480-612-6352
Mailing Address - Fax:480-893-0596
Practice Address - Street 1:2727 E. MCKELLIPS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213
Practice Address - Country:US
Practice Address - Phone:480-612-6352
Practice Address - Fax:480-893-0596
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD6969122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist