Individual
MICHAEL T. SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS,PC
Contact information
Practice address
114 4TH ST, TIPTON, IN 46072-1851
(765) 675-2432
Mailing address
114 4TH ST, P.O.BOX 264, TIPTON, IN 46072-1851
(765) 675-2432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008617A
IN
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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