MEDICARE: DR. BOBBI L SMITH D.D.S.

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
1	1223G0001X	General Practice Dentistry	8199	TN

General Provider Information

NPI Number	:	1851381677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BOBBI L SMITH D.D.S.

Provider Business Mailing Address
First Line	:	1150 VULTEE BLVD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-2158
Country	:	US
Telephone Number	:	615-367-2622
Fax Number	:

Provider Business Practice Location Address
First Line	:	3926 GALLATIN PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216-2436
Country	:	US
Telephone Number	:	615-226-2033
Fax Number	:	615-226-2078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	07/08/2007

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