# DONALD L. SMITHA, DDS, MDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003005299
- **Authorized official:** DR. DONALD L. SMITHA DDS (PRESIDENT)
- **Authorized official phone:** (904) 725-8282

## Contact information

- **Practice address:** 812 ALDERMAN RD, JACKSONVILLE, FL 32211-6102
- **Practice address phone:** (904) 725-8282
- **Practice address fax:** (904) 725-7197
- **Mailing address:** 812 ALDERMAN RD, JACKSONVILLE, FL 32211-6102
- **Mailing address phone:** (904) 725-8282
- **Mailing address fax:** (904) 725-7197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | DN 5802 | FL | Yes |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 10/24/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1215951132 | NPI NUMBER | — |
| 01 | — | K7516 | MEDICARE OFFICE NUMBER | — |