Organization
MICHAEL B SMITH DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNA R PANEPINTO (OFFICE MANAGER)
(504) 392-6057
Entity
Organization
Contact information
Practice address
250 OCHSNER BLVD STE 100, GRETNA, LA 70056-5257
(504) 392-6057
(504) 391-2429
Mailing address
250 OCHSNER BLVD STE 100, GRETNA, LA 70056-5257
(504) 392-6057
(504) 391-2429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700015054
INDIVIDUAL NPI
LA
Enumeration date
06/25/2021
Last updated
06/25/2021
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