| Tom M Smith, Dds, Inc | |
|
444 Forest Sq Suite A Longview TX 75605-4463 | |
| (903) 758-3329 | |
| (903) 758-4784 |
| Full Name | Tom M Smith, Dds, Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 444 Forest Sq, Longview, Texas |
| Authorized Official Name and Position | Tom M Smith (OWNER) |
| Authorized Official Contact | 9037583329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom M Smith, Dds, Inc 444 Forest Sq Suite A Longview TX 75605-4463 Ph: (903) 758-3329 | Tom M Smith, Dds, Inc 444 Forest Sq Suite A Longview TX 75605-4463 Ph: (903) 758-3329 |
| NPI Number | 1780844977 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780844977 | NPI | - | NPPES |
| 1891883757 | Other | TX | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 8585 (Texas) | Primary |
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