Individual
DR. WOODY LYLE SMITHEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
900 S VIENNA ST, RUSTON, LA 71270-5830
(318) 251-0334
(318) 255-3538
Mailing address
900 S VIENNA ST, RUSTON, LA 71270-5830
(318) 251-0334
(318) 255-3538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA 4115
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841153
—
LA
01
—
842233
UNITED CONCORDIA
LA
Enumeration date
10/05/2006
Last updated
07/08/2007
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