Individual
DANIEL PHILLIP SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
823 E MAIN ST, BLUE RIDGE, GA 30513-4575
(706) 632-2085
Mailing address
823 E MAIN ST, BLUE RIDGE, GA 30513-4575
(706) 632-2085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122982
GA
Other
Enumeration date
04/02/2022
Last updated
03/14/2025
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