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Individual

DR. EDWARD ANGUS JACKSON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5102 PAULSEN ST BLDG 8, SAVANNAH, GA 31405-4624
(912) 655-8855
(912) 335-6564
Mailing address
5102 PAULSEN ST BLDG 8, SAVANNAH, GA 31405-4624
(912) 655-8855
(912) 335-6564

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10315
SC
122300000X
Dentist
Primary
DN122890
GA
122300000X
Dentist
DN27476
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN122890
GA
208VP0014X
Interventional Pain Medicine Physician
DN122890
GA

Other

Enumeration date
09/08/2022
Last updated
07/23/2024
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