Individual
DR. THOMAS SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1211 CALEDONIA ST, MANKATO, MN 56001-4329
(507) 345-5138
(507) 345-5130
Mailing address
510 COTTONWOOD LN, NEW PRAGUE, MN 56071-2073
(952) 758-2932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11667
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193420100
—
MN
Enumeration date
02/17/2007
Last updated
07/20/2020
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