Individual
MICHAEL R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.,P.A.
Contact information
Practice address
1520 BUSINESS CENTER DR STE 1, ORANGE PARK, FL 32003-7480
(904) 637-0028
(866) 694-8463
Mailing address
1520 BUSINESS CENTER DR STE 1, FLEMING ISLAND, FL 32003-7480
(904) 637-0028
(866) 694-8463
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN13788
FL
Other
Enumeration date
03/06/2007
Last updated
05/29/2025
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