Individual
DR. TYRONE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
10010 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1626
(260) 490-9949
(260) 490-3199
Mailing address
10010 DUPONT CIRCLE CT., STETZEL DENTAL GROUP, FORT WAYNE, IN 46825
(260) 490-9949
(260) 490-3199
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011536A
IN
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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