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NPI Code Detail

MEDICARE: DR. DONALD M SMITH DDS

MEDICARE:  DR. DONALD M SMITH  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2820OK

General Provider Information

NPI Number : 1609986298
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD M SMITH DDS
Provider Business Mailing Address
First Line : 4204 COLETTA DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120
Country : US
Telephone Number : 405-751-4500
Fax Number : 405-751-1881
Provider Business Practice Location Address
First Line : 4204 COLETTA DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120
Country : US
Telephone Number : 405-751-4500
Fax Number : 405-751-1881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DONALD M SMITH DDS” Practice Location

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