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Individual
DR. RICHARD D SMITH II
Active
Individual
DR. RICHARD D SMITH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410137
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1305869
UNITED CONCORDIA PROV. #
VA
01
—
1634693
UNITED CONCORDIA PROVIDER
VA
01
—
1778847
UNITED CONCORDIA PROV. #
VA
01
—
1885668
UNITED CONCORDIA PROV. #
VA
01
—
246519
ANTHEM VA PROVIDER NUMBER
VA
01
—
246878
ANTHEM VA PROVIDER NUMBER
VA
01
—
247304
ANTHEM VA PROVIDER NUMBER
VA
01
—
247499
ANTHEM VA PROVIDER NUMBER
VA
Enumeration date
01/10/2007
Last updated
07/08/2007
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