DR. John Patrick Smith, DDS

NPI #1700974136 in Delavan, Wisconsin

Provider Information

NPI Number: 1700974136
Entity Type: Individual
Name: DR. John Patrick Smith, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 11, 2006
Last Updated: Oct 2, 2007

Practice Location

Address: 1114 ANN ST STE 1-PO # 487
City: Delavan
State: Wisconsin
ZIP Code: 53115-1938
Phone: (262) 728-8232

Specialties & Taxonomy Codes

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

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