Donavan Smith, DDS a Professional Dental Corporation

NPI #1194869446 in Scott, Louisiana

Provider Information

NPI Number: 1194869446
Entity Type: Organization
Organization Name: Donavan Smith, DDS a Professional Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Feb 19, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2149 W WILLOW ST
City: Scott
State: Louisiana
ZIP Code: 70583-5301
Phone: (337) 593-0300

Authorized Official

Name: DR. DONAVAN JEROME SMITH, DDS
Title: OWNER
Phone: (337) 593-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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