Individual
DR. KYLE ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
111 PEACOCK CT, SEYMOUR, TN 37865-5086
(865) 573-0274
Mailing address
111 PEACOCK CT, SEYMOUR, TN 37865-5086
(865) 573-0274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10067
TN
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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