Organization
DONALD L. SMITHA, DDS, MDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD L. SMITHA DDS (PRESIDENT)
(904) 725-8282
Entity
Organization
Contact information
Practice address
812 ALDERMAN RD, JACKSONVILLE, FL 32211-6102
(904) 725-8282
(904) 725-7197
Mailing address
812 ALDERMAN RD, JACKSONVILLE, FL 32211-6102
(904) 725-8282
(904) 725-7197
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN 5802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215951132
NPI NUMBER
—
01
—
K7516
MEDICARE OFFICE NUMBER
—
Enumeration date
10/24/2007
Last updated
10/24/2007
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