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Individual
DENNIS L SMITH
Active
Individual
DENNIS L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2010077923
MO
207P00000X
Emergency Medicine Physician
36753-021
WI
207Q00000X
Family Medicine Physician
Primary
2010077923
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114292880
—
MI
05
—
1952331910
—
MO
05
—
30085400
—
WI
01
—
930111565
MEDICARE RAILROAD
WI
01
—
MA5092007
MEDICARE
MO
Enumeration date
07/04/2006
Last updated
02/06/2023
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