Individual
EVAN R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
99 ST PAUL DR, CHAMBERSBURG, PA 17201-1020
(717) 263-3123
Mailing address
99 ST PAUL DR, CHAMBERSBURG, PA 17201-1020
(717) 263-3123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041706
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS041706
STATE LICENSE
PA
Enumeration date
06/08/2018
Last updated
06/08/2018
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