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Organization
WESLEY B SMITH,D.D.S.,P.A.
Active
Organization
WESLEY B SMITH,D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY BERNARD SMITH DDS (OWNER)
(919) 467-9313
Entity
Organization
Contact information
Practice address
130 PRESTON EXECUTIVE DR, SUITE 203, CARY, NC 27513-8433
(919) 467-9313
(919) 467-5015
Mailing address
130 PRESTON EXECUTIVE DR, SUITE 203, CARY, NC 27513-8433
(919) 467-9313
(919) 467-5015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6471
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97964
BCBS
NC
01
—
NC6471
LICENSE
NC
Enumeration date
08/15/2006
Last updated
08/22/2020
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