Individual
MICHAEL JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
41 PARK CREEK DR, GREENVILLE, SC 29605-4270
(864) 422-2616
Mailing address
41 PARK CREEK DR, GREENVILLE, SC 29605-4270
(864) 422-2616
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
4907
AZ
Other
Enumeration date
08/09/2006
Last updated
03/27/2017
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