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Organization
DONALD L. SMITHA, DDS, MDS, PA
Active
Organization
DONALD L. SMITHA, DDS, MDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD L. SMITHA DDS (PRESIDENT)
(904) 725-8282
Entity
Organization
Contact information
Practice address
812 ALDERMAN RD, JACKSONVILLE, FL 32211-6102
(904) 725-8282
(904) 725-7197
Mailing address
812 ALDERMAN RD, JACKSONVILLE, FL 32211-6102
(904) 725-8282
(904) 725-7197
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN 5802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215951132
NPI NUMBER
—
01
—
K7516
MEDICARE OFFICE NUMBER
—
Enumeration date
10/24/2007
Last updated
10/24/2007
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