Individual
DOUGLAS HOWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
130 S 130 ST, WOOSTER, OH 44691
(330) 264-9678
(330) 466-3077
Mailing address
16400 SOUTH MARKS ROAD, COLUMBIA STATION, OH 44028
(440) 846-1304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-16682
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0466759
—
OH
Enumeration date
10/08/2009
Last updated
10/08/2009
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