Individual
MARK D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
124 S MAIN ST, SWAINSBORO, GA 30401-3618
(478) 237-7979
(478) 237-2485
Mailing address
124 S MAIN ST, SWAINSBORO, GA 30401-3618
(478) 237-7979
(478) 237-2485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11021
GA
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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