Organization
SMITH ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R. SMITH DMD (OWNER)
(904) 637-0028
Entity
Organization
Contact information
Practice address
1520 BUSINESS CENTER DR, SUITE 2, ORANGE PARK, FL 32003-9011
(904) 637-0028
(904) 644-8230
Mailing address
1520 BUSINESS CENTER DR, SUITE 2, ORANGE PARK, FL 32003-9011
(904) 637-0028
(904) 644-8230
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN13788
FL
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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