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Organization
TODD SMITH DDS PA
Active
Organization
TODD SMITH DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA LABOUNTY SMITH (PRACTICE MANAGER)
(830) 629-1954
Entity
Organization
Contact information
Practice address
1583 COMMON STREET, SUITE 202, NEW BRAUNFELS, TX 78130
(830) 629-1954
(830) 625-3114
Mailing address
1583 COMMON STREET, SUITE 202, NEW BRAUNFELS, TX 78130
(830) 629-1954
(830) 625-3114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D16539
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1399228
UNITED CONCORDIA
TX
01
—
25JM
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/29/2006
Last updated
08/22/2020
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