Provider Demographics
NPI:1518756543
Name:WILCOX, SPENCER CHRISTOPHER (DDS)
Entity type:Individual
Prefix:DR
First Name:SPENCER
Middle Name:CHRISTOPHER
Last Name:WILCOX
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 CORIELL RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-9087
Mailing Address - Country:US
Mailing Address - Phone:740-285-3679
Mailing Address - Fax:
Practice Address - Street 1:1010 GALLIA ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-4170
Practice Address - Country:US
Practice Address - Phone:740-354-3368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0279271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice