# DR SUSAN SMITH DDS PROF CORP

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

## Provider details

- **NPI number:** 1629383880
- **Authorized official:** DR. SUSAN SCHMUTZ SMITH DDS (DENTIST)
- **Authorized official phone:** (702) 967-1700

## Contact information

- **Practice address:** 8275 S. EASTERN AVENUE \#101, LAS VEGAS, NV 89123
- **Practice address phone:** (702) 967-1700
- **Practice address fax:** (702) 967-1703
- **Mailing address:** 8275 S. EASTERN AVENUE \#101, LAS VEGAS, NV 89123
- **Mailing address phone:** (702) 967-1700
- **Mailing address fax:** (702) 967-1703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3782 | NV | Yes |

## Other

- **Enumeration date:** 08/12/2010
- **Last updated:** 06/24/2015