Individual
DR. NEIL LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
118 S. COURT ST., SULLIVAN, IN 47882
(812) 268-6054
Mailing address
118 S. COURT ST., SULLIVAN, IN 47882
(812) 268-6054
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011966A
IN
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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