Gary Michael Smith in Wawwatosa - Periodontics
Gary Michael Smith - NPI 1912045709
Gary Michael Smith is a Periodontics in Wawwatosa, Wisconsin. Gary Michael Smith practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Gary Michael Smith is 1912045709. The last update date is 2007-07-08.
Gary Michael Smith's current location address is 2600 N Mayfair Rd, Wawwatosa, Wisconsin. You can contact this provider via phone number 4142573170 and fax number 4142572054. The mailing address for Gary Michael Smith is 2600 N Mayfair Rd, Wawwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Michael Smith |
|---|---|
| Address | 2600 N Mayfair Rd, Wawwatosa, Wisconsin |
| Phone Number | 4142573170 |
| Fax Number | 4142572054 |
| Sole Proprietor | N |
| Credentials | DDS MSD SC |
NPI Number Detail
| NPI Number | 1912045709 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2600 N Mayfair Rd |
|---|---|
| City | Wawwatosa |
| State | Wisconsin (WI) |
| Post Code | 53226 |
| Phone Number | 4142573170 |
| Fax Number | 4142572054 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 492G |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to Gary Michael Smith by the Centers for Medicare & Medicaid Services?
The Gary Michael Smith has been assigned the NPI (National Provider Identifier) 1912045709. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gary Michael Smith?
The Gary Michael Smith is situated at 2600 N Mayfair Rd, in the city of Wawwatosa, state of WI, with the zip code 53226.
What is the Gary Michael Smith's specialty and taxonomy code?
The Gary Michael Smith's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date was the 1912045709 assigned to Gary Michael Smith?
The Gary Michael Smith was issued its 1912045709 on 2007-02-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gary Michael Smith, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary Michael Smith, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.