Organization
BEN M SMITH DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN M. SMITH DMD (OWNER/PRESIDENT)
(575) 624-2095
Entity
Organization
Contact information
Practice address
207 N UNION AVE STE E, ROSWELL, NM 88201-3068
(575) 910-6748
(575) 208-0780
Mailing address
PO BOX 8244, ROSWELL, NM 88202-8244
(575) 624-2095
(575) 627-5721
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
NM1575
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86835
—
NM
Enumeration date
08/19/2006
Last updated
03/29/2021
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