Individual
DR. H. WAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
814 PROFESSIONAL CENTER DR, EASTMAN, GA 31023-6734
(478) 374-7070
(478) 374-2089
Mailing address
814 PROFESSIONAL DRIVE, EASTMAN, GA 31023
(478) 374-7070
(478) 374-2089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9292
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00203266A
—
GA
Enumeration date
01/24/2007
Last updated
07/08/2007
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