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Organization
RICHARD M. SMITH, DDS, PC
Active
Organization
RICHARD M. SMITH, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MADSEN SMITH DDS (PRESIDENT)
(806) 353-4361
Entity
Organization
Contact information
Practice address
3611 S GEORGIA ST, AMARILLO, TX 79109-4847
(806) 353-4361
(806) 353-4767
Mailing address
3611 S GEORGIA ST, AMARILLO, TX 79109-4847
(806) 353-4361
(806) 353-4767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21684
TX
122300000X
Dentist
9826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095648-01
—
TX
01
—
1023234606
NPI
—
01
—
1730305582
NPI
—
05
—
1903734-01
—
TX
01
—
G60178-1
TEXAS CHIP
TX
Enumeration date
05/20/2008
Last updated
05/20/2008
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