Robert E. Smith DDS Mph

NPI #1134478647 in Derby, Connecticut

Provider Information

NPI Number: 1134478647
Entity Type: Organization
Organization Name: Robert E. Smith DDS Mph
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 30, 2012
Last Updated: Aug 30, 2012

Practice Location

Address: 115 NEW HAVEN AVE
City: Derby
State: Connecticut
ZIP Code: 06418-2154
Phone: (203) 732-4747

Authorized Official

Name: LYNANNE MADGIC
Title: OFFICE MANAGER
Phone: (203) 732-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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