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NPI Code Detail

MEDICARE: DR. CARLOS STRINGER SMITH D.D.S.

MEDICARE: DR. CARLOS STRINGER 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
1122300000XDentist8640NC
2122300000XDentist0401414401VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992968267
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS STRINGER SMITH D.D.S.
Provider Business Mailing Address
First Line : 520 NORTH 12TH STREET
Second Line : FACULTY'S PRIVATE PRACTICE
City : RICHMOND
State : VA
Zip : 23298-5064
Country : US
Telephone Number : 804-828-1922
Fax Number :
Provider Business Practice Location Address
First Line : 520 NORTH 12TH STREET
Second Line : FACULTY'S PRIVATE PRACTICE
City : RICHMOND
State : VA
Zip : 23298-5064
Country : US
Telephone Number : 804-828-1922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2008
Last Update Date : 05/06/2020

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