# DR. EDWARD ANGUS JACKSON SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568183473
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 10315 | SC | — |
| 122300000X | Dentist | DN122890 | GA | Yes |
| 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