Organization
PEDIATRIC DENTISTRY OF PROSPECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE M HAMAN-SMITH DMD (OWNER/PRESIDENT)
(502) 292-1160
Entity
Organization
Contact information
Practice address
900 SPRING ST STE B, JEFFERSONVILLE, IN 47130-3676
(812) 288-8131
(812) 280-7184
Mailing address
900 SPRING ST STE B, JEFFERSONVILLE, IN 47130-3676
(812) 288-8131
(812) 280-7184
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12011253A
IN
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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