Individual
DR. TODDRICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6611 KIRBY CENTER CV, MEMPHIS, TN 38115-4313
(901) 363-8192
Mailing address
6611 KIRBY CENTER CV, MEMPHIS, TN 38115-4313
(901) 363-8192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8676
TN
1223P0221X
Pediatric Dentistry
Primary
8676
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515391
—
TN
Enumeration date
04/10/2008
Last updated
08/23/2019
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