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NPI Code Detail

MEDICARE: DR. PARKER C SMITH DDS

MEDICARE: DR. PARKER C 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
11223G0001XGeneral Practice DentistryD1442SD

General Provider Information

NPI Number : 1578321337
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PARKER C SMITH DDS
Provider Business Mailing Address
First Line : 2208 N INDIAN HILLS TRL
Second Line :
City : BRANDON
State : SD
Zip : 57005-1040
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 720 N SYCAMORE AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57110-5740
Country : US
Telephone Number : 605-338-6118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2024
Last Update Date : 05/30/2024

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Directions to “ DR. PARKER C SMITH DDS” Practice Location

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