Modern Dental Professionals-Smith PA
NPI #1538232566 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1538232566
- Entity Type
- Organization
- Organization Name
- Modern Dental Professionals-Smith PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Sep 27, 2024
Practice Location
- Address
- 3801 CAMDEN ROAD
- Address 2
- SUITE 11
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603
- Phone
- (479) 646-1979
Authorized Official
- Name
- RICHARD SMITH, DDS
- Title
- PC PRESIDENT
- Phone
- (214) 701-6694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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