# ANDREW A SMITH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Main Street Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790811669
- **Authorized official:** DR. ANDREW A SMITH DDS (OWNER)
- **Authorized official phone:** (209) 827-9226

## Contact information

- **Practice address:** 1314 S 6TH ST, LOS BANOS, CA 93635-4729
- **Practice address phone:** (209) 827-9226
- **Practice address fax:** (209) 827-7679
- **Mailing address:** 1314 S 6TH ST, LOS BANOS, CA 93635-4729
- **Mailing address phone:** (209) 827-9226
- **Mailing address fax:** (209) 827-7679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | C42233 | CA | Yes |
| 122300000X | Dentist | C43678 | CA | — |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 11/19/2008