Individual
DR. DUSTIN KYLE SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
256 39TH ST BLDG 38717, FORT EISENHOWER, GA 30905-6102
(843) 455-8728
Mailing address
256 39TH ST BLDG 38717, FORT EISENHOWER, GA 30905-6102
(843) 455-8728
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10191
SC
Other
Enumeration date
06/30/2022
Last updated
06/17/2025
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