Organization
JOSEPH R SMITH,II, DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R SMITH II DDS (DOCTOR)
(252) 825-1131
Entity
Organization
Contact information
Practice address
3877 JAMES STREET, BETHEL, NC 27812-0936
(252) 825-1131
(252) 825-0220
Mailing address
3877 JAMES STREET, PO BOX 936, BETHEL, NC 27812-0936
(252) 825-1131
(252) 825-0220
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
4119
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997937
—
NC
Enumeration date
03/24/2008
Last updated
12/15/2014
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