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Individual

DR. MATTHEW SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
508 N GREEN RIVER RD, EVANSVILLE, IN 47715-2412
(812) 479-5000
Mailing address
1634 N 100 W, PRINCETON, IN 47670-8541
(812) 499-1073

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013596A
IN

Other

Enumeration date
05/19/2021
Last updated
05/19/2021
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