Individual
DR. SHAYNE ALEXANDER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3102 E ELK LN, FREMONT, NE 68025-8636
(402) 512-4028
Mailing address
12141 BURDETTE CIR, OMAHA, NE 68164-3565
(360) 349-1662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7711
NE
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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