DR. Kathryn Derivaux Smith, D.D.S.

NPI #1962885483 in Horn Lake, Mississippi

Provider Information

NPI Number: 1962885483
Entity Type: Individual
Name: DR. Kathryn Derivaux Smith, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 1, 2015
Last Updated: Jul 1, 2015

Practice Location

Address: 2154 GOODMAN RD W
City: Horn Lake
State: Mississippi
ZIP Code: 38637-1303
Phone: (662) 393-9200

Specialties & Taxonomy Codes

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

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