# MARK PHILIP SMITH DDS PC

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

## Provider details

- **NPI number:** 1699709808
- **Authorized official:** DR. MARK PHILIP SMITH DDS (PRESIDENT)
- **Authorized official phone:** (434) 792-2845

## Contact information

- **Practice address:** 816 WEST MAIN STREET, DANVILLE, VA 24541
- **Practice address phone:** (434) 792-2845
- **Practice address fax:** (434) 792-1494
- **Mailing address:** 816 WEST MAIN STREET, DANVILLE, VA 24541
- **Mailing address phone:** (434) 792-2845
- **Mailing address fax:** (434) 792-1494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401004938 | VA | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/22/2020