Anna R. Smith Dmd, PC

NPI #1003964081 in Godfrey, Illinois

Provider Information

NPI Number: 1003964081
Entity Type: Organization
Organization Name: Anna R. Smith Dmd, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1317 DADRIAN PROFESSIONAL PARK
City: Godfrey
State: Illinois
ZIP Code: 62035-1686
Phone: (618) 466-0733

Authorized Official

Name: DR. ANNA R. SMITH, DMD
Title: PRESIDENT
Phone: (618) 466-0733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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