Individual
TERRANCE LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2029 VALLEYGATE DR, SUITE 201, FAYETTEVILLE, NC 28304-3688
(910) 485-8884
(910) 485-8287
Mailing address
2029 VALLEYGATE DR, SUITE 201, FAYETTEVILLE, NC 28304-3688
(910) 485-8884
(910) 485-8287
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5960
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997905
—
NC
Enumeration date
09/16/2006
Last updated
07/08/2007
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