Individual
DR. LORI TRIEBEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13 S COO Y YAH ST, PRYOR, OK 74361-4624
(918) 825-7645
(918) 825-7646
Mailing address
13 S COO Y YAH ST, PRYOR, OK 74361-4624
(918) 825-7645
(918) 825-7646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5334
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100150130A
—
OK
Enumeration date
09/28/2011
Last updated
09/28/2011
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