Individual
DR. CHARLOTTE ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
28119 N MAIN ST, STE A, DAPHNE, AL 36526-7037
(257) 626-2728
(257) 626-2877
Mailing address
28119 N MAIN ST, STE A, DAPHNE, AL 36526-7037
(257) 626-2728
(257) 626-2877
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4467
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96999
BLUE CROSS
AL
Enumeration date
10/19/2006
Last updated
07/08/2007
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