Individual ProviderSpencer Preston GordyDentistDental ProvidersPractice Address550 Chestnut St, Conway, AR 72032-5402(501) 329-8754(501) 733-1677PECOS EnrollmentBased on the most recent information from CMS, provider Spencer Preston Gordy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1477991065Provider TypeIndividualFull NameGordy, Spencer PrestonTitleDr.CredentialDDSGenderMaleSole ProprietorNoEnumeration Date6/5/2013Last Updated6/5/2013Contact InformationPractice LocationPractice Address550 Chestnut St, Conway, AR 72032-5402Phone(501) 329-8754FaxUnlisted FaxMailing LocationMailing Address1623 Center St, Little Rock, AR 72206-1415Phone(501) 733-1677FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense3926Arkansas