John Albert Smith, DDS PA Valid NPI

Individual provider · General Practice Dentistry · Greenwood, MS

NPI

1205929684

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

185279 (MS)

Sex

Male

Sole proprietor

No

Enumerated

2006-09-30

Last updated

2007-07-08