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Individual

DR. LIAM PD SMYTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 803-5601
Mailing address
7001 OLD SAUK RD STE 200, MADISON, WI 53717-2310
(608) 833-6545

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30.026058
OH
122300000X
Dentist
61153
KS
122300000X
Dentist
D13791
MN
1223G0001X
General Practice Dentistry
30.026058
OH
1223P0221X
Pediatric Dentistry
Primary
1002526
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100166489
WI
05
453019657
MN
Enumeration date
06/02/2016
Last updated
02/15/2022
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