Individual
DR. PAUL R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5345 SPRING STREET, DAVENPORT, IA 52807-0000
(563) 359-1601
(563) 355-7111
Mailing address
5345 SPRING ST, DAVENPORT, IA 52807-2764
(563) 359-1601
(563) 355-7111
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7850
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8846
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142778
—
IA
05
—
142778
—
IA
05
—
2142778
—
IA
Enumeration date
03/21/2006
Last updated
07/08/2010
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