Individual
DAVID PHILLIPS SMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 CAULK LANE, SUITE 2, 2ND FLOOR, EASTON, MD 21601-4066
(410) 822-9890
(410) 763-9536
Mailing address
PO BOX 2350, EASTON, MD 21601-8945
(410) 822-9890
(410) 763-9536
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
D0040409
MD
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
D0040409
MD
207NS0135X
Procedural Dermatology Physician
D0040409
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070010482
MC RAILROAD
MD
01
—
21D0931132
CLIA
MD
01
—
248038
MAMSI PLANS
MD
01
—
KB59TA
BLUE SHIELD
MD
01
—
W0170001
BLUE SHIELD
MD
Enumeration date
10/13/2005
Last updated
10/06/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us