Individual
DR. FRED R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4088 ALPHA DR, SUITE 201, ALLISON PARK, PA 15101-2996
(412) 487-1487
(412) 487-0700
Mailing address
4088 ALPHA DRIVE, SUITE 201, PITTSBURGH, PA 15101-2996
(412) 487-1487
(412) 487-0700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS015952L
PA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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