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Individual
DR. EDWARD ANGUS JACKSON SMITH
Active
Individual
DR. EDWARD ANGUS JACKSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10315
SC
122300000X
Dentist
Primary
DN122890
GA
122300000X
Dentist
DN27476
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN122890
GA
208VP0014X
Interventional Pain Medicine Physician
DN122890
GA
Other
Enumeration date
09/08/2022
Last updated
09/22/2026
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