Individual
MATTHEW THOMAS SMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4291 SCHOOL HOUSE CMNS, HARRISBURG, NC 28075-7503
(704) 456-9611
Mailing address
2521 MCCLINTOCK RD APT 2418, CHARLOTTE, NC 28205-5398
(631) 375-6235
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12808
NC
Other
Enumeration date
06/07/2022
Last updated
12/04/2024
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