Individual
DEAN P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 W CLINCH AVE, SUITE 120, KNOXVILLE, TN 37916-2219
(865) 637-7290
(865) 637-7289
Mailing address
2100 W CLINCH AVE, SUITE 120, KNOXVILLE, TN 37916-2219
(865) 637-7290
(865) 637-7289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18653
TN
2088P0231X
Pediatric Urology Physician
Primary
18653
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3091928
—
TN
Enumeration date
09/13/2005
Last updated
05/12/2017
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