Individual
DR. MARK ALAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1212 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2269
(765) 653-5653
(765) 653-1818
Mailing address
1212 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2269
(765) 653-5653
(765) 653-1818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008146A
IN
Other
Enumeration date
10/29/2006
Last updated
07/08/2007
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