Individual
DR. CHARLES A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD PA
Contact information
Practice address
2810 GOVERNMENT ST, OCEAN SPRINGS, MS 39564-5642
(228) 872-3333
(228) 872-9877
Mailing address
2810 GOVERNMENT STREET, OCEAN SPRINGS, MS 39564
(228) 872-3333
(228) 872-9877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
168475
MS
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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