Individual
DR. LARRY M. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
180 WALNUT GROVE RD, DAYTON, TN 37321-5939
(423) 775-1464
(423) 775-1465
Mailing address
PO BOX 199, DAYTON, TN 37321-0199
(423) 775-1464
(423) 775-1465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS2776
TN
Other
Enumeration date
06/27/2005
Last updated
07/08/2007
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