MEDICARE: WARREN SMITH DMD

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	D.007655-C1	AL

General Provider Information

NPI Number	:	1932891819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WARREN SMITH DMD

Provider Business Mailing Address
First Line	:	100 57TH ST S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35212-2541
Country	:	US
Telephone Number	:	205-591-1101
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 57TH ST S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35212-2541
Country	:	US
Telephone Number	:	205-591-1101
Fax Number	:

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

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	06/22/2026

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Directions to “ WARREN SMITH DMD” Practice Location

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