Michael Smith Dmd, LLC
NPI #1639679087 in Belleville, Illinois
Provider Information
- NPI Number
- 1639679087
- Entity Type
- Organization
- Organization Name
- Michael Smith Dmd, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 12, 2018
- Last Updated
- Feb 28, 2021
Practice Location
- Address
- 16 N JACKSON ST
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-1425
- Phone
- (618) 235-5141
Authorized Official
- Name
- DR. MICHAEL THOMAS SMITH, DMD
- Title
- MANAGER
- Phone
- (618) 235-5141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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