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NPI Code Detail

MEDICARE: DR. THOMAS GREGORY SMITH DDS

MEDICARE:  DR. THOMAS GREGORY 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 Dentistry0401008820VA

General Provider Information

NPI Number : 1760494769
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS GREGORY SMITH DDS
Provider Business Mailing Address
First Line : 300 E LITTLE CREEK RD
Second Line :
City : NORFOLK
State : VA
Zip : 23505-2603
Country : US
Telephone Number : 757-583-1889
Fax Number : 757-588-1724
Provider Business Practice Location Address
First Line : 300 E LITTLE CREEK RD
Second Line :
City : NORFOLK
State : VA
Zip : 23505-2603
Country : US
Telephone Number : 757-583-1889
Fax Number : 757-588-1724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 02/04/2016

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Directions to “ DR. THOMAS GREGORY SMITH DDS” Practice Location

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