Individual
DR. PHILIP EDWIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
509 E MAIN ST, LEXINGTON, SC 29072-3605
(803) 359-9991
(803) 359-3004
Mailing address
509 E MAIN ST, LEXINGTON, SC 29072-3605
(803) 359-9991
(803) 359-3004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC 1830
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z18302
—
SC
Enumeration date
12/31/2006
Last updated
07/08/2007
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