Greg L Smart in Racine - General Practice

Greg L Smart - NPI 1174631089

Greg L Smart is a General Practice in Racine, Wisconsin. Greg L Smart practices all healthcare services and medical treatments related to General Practice. The NPI Number for Greg L Smart is 1174631089. The last update date is 2007-07-08.

Greg L Smart's current location address is 7117 Green Bay Road, Racine, Wisconsin. You can contact this provider via phone number 2629427000 and fax number 2629427117. The mailing address for Greg L Smart is 7117 Green Bay Road, Racine, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Greg L Smart
Address 7117 Green Bay Road, Racine, Wisconsin
Phone Number 2629427000
Fax Number 2629427117
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1174631089
Provider Enumeration Date 2006-08-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7117 Green Bay Road
City Racine
State Wisconsin (WI)
Post Code 53404
Phone Number 2629427000
Fax Number 2629427117

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 4242-015
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
33706300 WI --

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FAQs about Greg L Smart

What is the unique 10-digit identifier code assigned to Greg L Smart by the Centers for Medicare & Medicaid Services?

The Greg L Smart has been issued the NPI (National Provider Identifier) 1174631089 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Greg L Smart's facilities are situated?

The facilities of Greg L Smart are physically located at the following address: 7117 Green Bay Road, Racine, WI, 53404.

What is Greg L Smart's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Greg L Smart's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1174631089 to Greg L Smart?

The Centers for Medicare & Medicaid Services assigned the 1174631089 to Greg L Smart on 2006-08-29.

As of what date was the information regarding Greg L Smart, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Greg L Smart, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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