Individual
DR. CHARLES LESTER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1501 7TH AVE, CHARLESTON, WV 25312
(304) 343-9131
(304) 343-2416
Mailing address
100 KANAWHA BLVD W, CHARLESTON, WV 25302
(304) 342-7272
(304) 344-4132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2700
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137214000
—
WV
Enumeration date
09/20/2006
Last updated
12/15/2014
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