MEDICARE: DR. HEATHER MARIE SMITH-BRIGGS D.M.D.

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	122300000X	Dentist	22DIO2268101	NJ
2	122300000X	Dentist	22DIO2268100	NJ

General Provider Information

NPI Number	:	1790993616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER MARIE SMITH-BRIGGS D.M.D.

Provider Business Mailing Address
First Line	:	1015 WASHINGTON BLVD
Second Line	:
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-3119
Country	:	US
Telephone Number	:	609-371-9200
Fax Number	:	609-371-9292

Provider Business Practice Location Address
First Line	:	1015 WASHINGTON BLVD
Second Line	:
City	:	ROBBINSVILLE
State	:	NJ
Zip	:	08691-3119
Country	:	US
Telephone Number	:	609-371-9200
Fax Number	:	609-371-9292

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	01/04/2012

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