DR. Peter Smidt, DDS

NPI #1598170771 in Morton, Illinois

Provider Information

NPI Number: 1598170771
Entity Type: Individual
Name: DR. Peter Smidt, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 25, 2014
Last Updated: Jun 25, 2014

Practice Location

Address: 1600 S 4TH AVE
Address 2: STE 110
City: Morton
State: Illinois
ZIP Code: 61550-2889
Phone: (309) 263-2781

Specialties & Taxonomy Codes

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

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