DR. Michael Shane Smith, D.D.S.

NPI #1992916175 in Dalton, Georgia

Provider Information

NPI Number: 1992916175
Entity Type: Individual
Name: DR. Michael Shane Smith, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1202 CLEO WAY STE 3
City: Dalton
State: Georgia
ZIP Code: 30720-8356
Phone: (804) 828-6498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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