Keenan W. Smith, D.m.d., P.a.
NPI #1073757381 in Greenville, South Carolina
Provider Information
- NPI Number
- 1073757381
- Entity Type
- Organization
- Organization Name
- Keenan W. Smith, D.m.d., P.a.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 30, 2009
- Last Updated
- Apr 30, 2009
Practice Location
- Address
- 40 CREEKVIEW CT
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29615-4800
- Phone
- (864) 676-0825
Authorized Official
- Name
- DR. KEENAN WEBSTER SMITH, D.M.D.
- Title
- PRESIDENT
- Phone
- (864) 676-0825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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