Healthcare Provider Details

I. General information

NPI: 1457328551
Provider Name (Legal Business Name): TALBOT LEE SMITH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 FREDERICK RD
THURMONT MD
21788-1809
US

IV. Provider business mailing address

20 FREDERICK RD
THURMONT MD
21788-1809
US

V. Phone/Fax

Practice location:
  • Phone: 301-979-9636
  • Fax: 717-338-9070
Mailing address:
  • Phone: 301-979-9636
  • Fax: 717-338-9070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0095254
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD424762
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: