MEDICARE: DR. CRAIG 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	9781	FL

General Provider Information

NPI Number	:	1053522409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG SMITH D.D.S

Provider Business Mailing Address
First Line	:	4811 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6547
Country	:	US
Telephone Number	:	954-983-3548
Fax Number	:	954-983-1810

Provider Business Practice Location Address
First Line	:	4811 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6547
Country	:	US
Telephone Number	:	954-983-3548
Fax Number	:	954-983-1810

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

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	07/08/2007

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