| Samuel M Smith Dmd Phd Pc | |
|
1519 East Mccord St Centralia IL 62801 | |
| (618) 532-1879 | |
| (618) 532-0479 |
| Full Name | Samuel M Smith Dmd Phd Pc |
|---|---|
| Speciality | Dentist |
| Location | 1519 East Mccord St, Centralia, Illinois |
| Authorized Official Name and Position | Samuel Madison Smith (OWNER) |
| Authorized Official Contact | 6185321879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel M Smith Dmd Phd Pc 1519 East Mccord St Centralia IL 62801 Ph: (618) 532-1879 | Samuel M Smith Dmd Phd Pc 1519 East Mccord St Centralia IL 62801 Ph: (618) 532-1879 |
| NPI Number | 1174791990 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 02/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174791990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Shah Dental Clinic,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 S Sycamore St, Centralia, IL 62801 Phone: 618-532-1411 Fax: 618-532-1496 | |
J Franklin Whipps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Jonas Street, Centralia, IL 62801 Phone: 618-532-1821 Fax: 618-532-1915 |