Individual
DR. DON E. SMITH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 W ADAMS ST, KOSCIUSKO, MS 39090-3644
(662) 289-2570
(662) 289-2580
Mailing address
300 W ADAMS ST, P O BOX 627, KOSCIUSKO, MS 39090-3644
(662) 289-2570
(662) 289-2580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1253-66
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00062490
—
MS
Enumeration date
01/16/2007
Last updated
07/09/2007
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