Individual
DR. DOUGLAS PARKER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
516 W MCCORD ST, NEOSHO, MO 64850-1424
(417) 451-0977
Mailing address
142 COUNTRY BLUFF DR, BRANSON, MO 65616-8848
(417) 230-5511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2004005782
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400568002
—
MO
Enumeration date
08/31/2006
Last updated
06/05/2012
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