Individual
DR. GREGORY A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3019 MARKET ST, PASCAGOULA, MS 39567-5152
(228) 762-4141
Mailing address
3019 MARKET ST # 127, PASCAGOULA, MS 39567-5152
(228) 762-4141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1811-78
MS
1223G0001X
General Practice Dentistry
1811-78
MS
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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