Individual
DR. GRAYSON BENNETT SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
933 OLD ROCKFORD STREET, SUITE 7, MOUNT AIRY, NC 27030-5356
(336) 789-5306
(336) 789-3311
Mailing address
933 OLD ROCKFORD STREET, SUITE 7, MOUNT AIRY, NC 27030-5356
(336) 789-5306
(336) 789-3311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5240
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997864
—
NC
Enumeration date
04/02/2007
Last updated
07/08/2007
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