Shelby J. Smith, Dds, Ms, A Professional Corporation in Antioch - Dental

Shelby J. Smith, Dds, Ms, A Professional Corporation - NPI 1376703066

Shelby J. Smith, Dds, Ms, A Professional Corporation is a Dental in Antioch, California. Shelby J. Smith, Dds, Ms, A Professional Corporation practices all healthcare services and medical treatments related to Dental. The NPI Number for Shelby J. Smith, Dds, Ms, A Professional Corporation is 1376703066. The last update date is 2008-06-16.

Shelby J. Smith, Dds, Ms, A Professional Corporation's current location address is 2213 Buchanan Rd Ste 112, Antioch, California. You can contact this provider via phone number 9257555115 and fax number 9257555003. The mailing address for Shelby J. Smith, Dds, Ms, A Professional Corporation is 2213 Buchanan Rd Ste 112, Antioch, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shelby J. Smith, Dds, Ms, A Professional Corporation
Address 2213 Buchanan Rd Ste 112, Antioch, California
Phone Number 9257555115
Fax Number 9257555003
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Smith J Shelby
Credentials DDS, MS
Telephone Number 9257555115

NPI Number Detail

NPI Number 1376703066
Provider Enumeration Date 2008-06-16
Last Updated Date 2008-06-16

Provider Mailing Address Detail

Address 2213 Buchanan Rd Ste 112
City Antioch
State California (CA)
Post Code 945094265
Phone Number 9257555115
Fax Number 9257555003

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 38482
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Shelby J. Smith, Dds, Ms, A Professional Corporation

What is the unique 10-digit identifier code assigned to Shelby J. Smith, Dds, Ms, A Professional Corporation by the Centers for Medicare & Medicaid Services?

The Shelby J. Smith, Dds, Ms, A Professional Corporation has been issued the NPI (National Provider Identifier) 1376703066 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Shelby J. Smith, Dds, Ms, A Professional Corporation is located?

The Shelby J. Smith, Dds, Ms, A Professional Corporation is situated at the following address: 2213 Buchanan Rd Ste 112, Antioch, CA, 945094265.

What is Shelby J. Smith, Dds, Ms, A Professional Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shelby J. Smith, Dds, Ms, A Professional Corporation is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.

On what date did the Shelby J. Smith, Dds, Ms, A Professional Corporation receive its 1376703066 assignment from the Centers for Medicare & Medicaid Services?

The Shelby J. Smith, Dds, Ms, A Professional Corporation was assigned its 1376703066 by the Centers for Medicare & Medicaid Services on 2008-06-16.

When was the Shelby J. Smith, Dds, Ms, A Professional Corporation's information last updated?

The Shelby J. Smith, Dds, Ms, A Professional Corporation's information was last updated on 2008-06-16.

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