Individual
DR. MICHAEL JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
91 LAKES RD, MONROE, NY 10950-2613
(845) 782-4220
(845) 783-4846
Mailing address
MEDICAL ARTS BUILDING, 91 LAKES ROAD, MONROE, NY 10950
(845) 782-4220
(845) 783-4846
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
035261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00727284
—
NY
Enumeration date
02/27/2006
Last updated
08/31/2010
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