Individual
DR. SPENCER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12650 GA-144, RICHMOND HILL, GA 31324
(912) 355-8821
Mailing address
12650 GA-144, RICHMOND HILL, GA 31324
(912) 355-8821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10063
SC
1223G0001X
General Practice Dentistry
106294
CA
1223G0001X
General Practice Dentistry
Primary
DN122567
GA
1223G0001X
General Practice Dentistry
DN25833
FL
Other
Enumeration date
06/15/2021
Last updated
05/24/2023
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