| Scott R. Smith Dds.,pc | |
|
770 Riverside Ave Suite #201 Adrian MI 49221-1476 | |
| (517) 265-5577 | |
| (517) 265-8068 |
| Full Name | Scott R. Smith Dds.,pc |
|---|---|
| Speciality | Dentist |
| Location | 770 Riverside Ave, Adrian, Michigan |
| Authorized Official Name and Position | Scott Raymond Smith (PRESIDENT) |
| Authorized Official Contact | 5172655577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott R. Smith Dds.,pc 770 Riverside Ave Suite #201 Adrian MI 49221-1476 Ph: (517) 265-5577 | Scott R. Smith Dds.,pc 770 Riverside Ave Suite #201 Adrian MI 49221-1476 Ph: (517) 265-5577 |
| NPI Number | 1609011311 |
|---|---|
| Provider Enumeration Date | 12/09/2008 |
| Last Update Date | 12/10/2008 |
| Medicare PECOS PAC ID | 7618235201 |
|---|---|
| Medicare Enrollment ID | O20180103003332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609011311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12556 (* (Not Available)) | Primary |
| Provider Name | Scott R Smith |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154324002 PECOS PAC ID: 0446218473 Enrollment ID: I20041222000419 |
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