Organization
SMITH AND INGERSOLL, RALEIGH NC, PLLC
Active
Other names
Royal Oak Dental Group at Midtown
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB THOMAS SMITH DDS (M)
(919) 847-5283
Entity
Organization
Contact information
Practice address
200 SAWMILL ROAD, SUITE 100, RALEIGH, NC 27615
(919) 847-5283
Mailing address
200 SAWMILL RD STE 100, RALEIGH, NC 27615-5275
(919) 847-5283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5261
NC
122300000X
Dentist
9665
NC
122300000X
Dentist
9695
NC
122300000X
Dentist
9696
NC
1223P0700X
Prosthodontics
9664
NC
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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