Individual
DR. MILLARD BEDFORD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
501 PENNY LANE, MOREHEAD CITY, NC 28557
(252) 247-2258
(252) 247-7783
Mailing address
501 PENNY LANE, MOREHEAD CITY, NC 28557
(252) 247-2258
(252) 247-7783
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6090
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822407
UNITED CONCORDIA
—
05
—
8997871
—
NC
01
—
97871
BCBSNC
NC
Enumeration date
01/24/2006
Last updated
07/28/2009
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