Individual
DR. DOUGLAS NEIL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., D.M.S.
Contact information
Practice address
201 ARCH ST, MEADVILLE, PA 16335-3443
(814) 337-1313
(814) 337-1399
Mailing address
201 ARCH ST, MEADVILLE, PA 16335-3443
(814) 337-1313
(814) 337-1399
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS026869L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014116640001
PA PROMISE NUMBER
PA
Enumeration date
09/01/2006
Last updated
07/08/2007
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