Dr Tim R. Smith PA

NPI #1811198484 in Tyler, Texas

Provider Information

NPI Number: 1811198484
Entity Type: Organization
Organization Name: Dr Tim R. Smith PA
Primary Specialty: Dentist - General Practice
Enumeration Date: May 30, 2007
Last Updated: Jun 22, 2021

Practice Location

Address: 6439 OLD JACKSONVILLE HWY
City: Tyler
State: Texas
ZIP Code: 75703-0577
Phone: (903) 592-5934

Authorized Official

Name: DR. TIMOTHY R SMITH, DDS
Title: DENTIST OWNER
Phone: (903) 592-5934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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