Individual
BENJAMIN DEE SMITH
Active
Individual
BENJAMIN DEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
2017-01058
NC
2085R0202X
Diagnostic Radiology Physician
0101280612
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT, HEALTH CARE
NJ
Enumeration date
05/11/2012
Last updated
07/13/2026
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