Individual
KEITH SHIPLEY SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSP
Contact information
Practice address
3212 GULF GATE DR, SARASOTA, FL 34231-2404
(941) 921-2122
(941) 924-8956
Mailing address
3212 GULF GATE DR, SARASOTA, FL 34231-2404
(941) 921-2122
(941) 924-8956
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN13173
FL
Other
Enumeration date
08/05/2006
Last updated
07/05/2013
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