Organization
C. DOUGLAS SMITH, D.M.D.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. DOUGLAS SMITH D.M.D. (DENTIST)
(334) 793-1500
Entity
Organization
Contact information
Practice address
1609 W MAIN ST STE 202, DOTHAN, AL 36301-1359
(334) 793-1500
(334) 792-7647
Mailing address
1609 W MAIN ST STE 202, DOTHAN, AL 36301-1359
(334) 793-1500
(334) 792-7647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3365
AL
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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