Individual
DR. MICHAEL T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
16 N JACKSON ST, BELLEVILLE, IL 62220-1425
(618) 235-5141
(618) 235-2155
Mailing address
16 N JACKSON ST, BELLEVILLE, IL 62220-1425
(618) 235-5141
(618) 235-2155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028833
IL
Other
Enumeration date
09/01/2011
Last updated
02/28/2021
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