Individual
DR. BRACKEN GAMBLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4341 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5904
(907) 729-2000
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-8901
(907) 729-5180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9058059-9922
UT
1223E0200X
Endodontics
Primary
222576
AK
1223E0200X
Endodontics
9058059-9922
UT
Other
Enumeration date
06/10/2014
Last updated
06/04/2024
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