| Smith Endodontics | |
|
1520 Business Center Dr Suite 2 Orange Park FL 32003-9011 | |
| (904) 637-0028 | |
| (904) 644-8230 |
| Full Name | Smith Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1520 Business Center Dr, Orange Park, Florida |
| Authorized Official Name and Position | Michael R. Smith (OWNER) |
| Authorized Official Contact | 9046370028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Endodontics 1520 Business Center Dr Suite 2 Orange Park FL 32003-9011 Ph: (904) 637-0028 | Smith Endodontics 1520 Business Center Dr Suite 2 Orange Park FL 32003-9011 Ph: (904) 637-0028 |
| NPI Number | 1164879052 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 05/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164879052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN13788 (Florida) | Primary |
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