Logan William Smith, DDS Valid NPI
Individual provider · General Practice Dentistry · O Fallon, MO
- NPI
- 1831878214
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 2023021391 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2023-07-13
- Last updated
- 2023-07-13
Practice location
3009 Highway K
O Fallon, MO 63368-8696
(636) 379-7552