Organization
TOM M SMITH, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM M SMITH DDS, MSD (OWNER)
(903) 758-3329
Entity
Organization
Contact information
Practice address
444 FOREST SQ, SUITE A, LONGVIEW, TX 75605-4463
(903) 758-3329
(903) 758-4784
Mailing address
444 FOREST SQ, SUITE A, LONGVIEW, TX 75605-4463
(903) 758-3329
(903) 758-4784
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891883757
INDIVIDUAL NPI
TX
Enumeration date
06/11/2008
Last updated
06/11/2008
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