Organization
MY FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEE SMITH JR. DDS (OWNER)
(614) 759-4746
Entity
Organization
Contact information
Practice address
4110 BUCKEYE PKWY, GROVE CITY, OH 43123-8175
(614) 539-0765
(614) 522-6767
Mailing address
4110 BUCKEYE PKWY, GROVE CITY, OH 43123-8175
(614) 539-0765
(614) 522-6767
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30022270
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821011701
INDIVIDUAL NPI
OH
01
—
1871652495
INDIVIDUAL NPI
OH
Enumeration date
10/11/2011
Last updated
10/11/2011
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