Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1396876033 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Kenney Spencer , DDS

Dentist • Fort Worth, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Spencer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2007
NPI Deactivation Date September 20, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Spencer, DDS was a registered Dentist practicing in Fort Worth, TX. Throughout an active medical career spanning 16 years, Dr. Spencer provided care at the practice location at 3221 HULEN ST until profile deactivation on 2023-09-20.

Practice Location & Contact Primary Location

Practice Address

3221 Hulen St
Suite B

Fort Worth, TX 761076114

Telephone 8177384119
Fax 8177381055
Associated Practice Facility / Clinic
🏢 W Douglas Boyd Dpm Pc Facility NPI 1124263249

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
157 Specialists

Practicing in Fort Worth, TX (6851 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 11538

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 20, 2023

Record deactivated on September 20, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3221 HULEN ST, SUITE B, FORT WORTH, TX 761076114 (Tel: 8177384119)

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Updated Business Mailing Address July 08, 2007

Registered at 3221 HULEN ST, SUITE B, FORT WORTH, TX 761076114 (Tel: 8177384119)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL SPENCER, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #11538 in TX)

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Initial NPI Registration & Enumeration March 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396876033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: July 08, 2007
Deactivation Date: September 20, 2023

Mailing Address

3221 Hulen St, Suite B

Fort Worth, TX 761076114

Phone: 8177384119

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.