Individual
DR. MARK CONRAD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
217 N MAIN ST, GREENEVILLE, TN 37745
(423) 639-4000
(423) 639-1361
Mailing address
217 N MAIN ST, GREENEVILLE, TN 37745
(423) 639-9029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS4229
TN
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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