Organization
DR TIM R. SMITH PA
Active
Other names
Tim Smith Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY R SMITH DDS (DENTIST OWNER)
(903) 592-5934
Entity
Organization
Contact information
Practice address
6439 OLD JACKSONVILLE HWY, TYLER, TX 75703-0577
(903) 592-5934
(903) 597-8822
Mailing address
6439 OLD JACKSONVILLE HWY, TYLER, TX 75703-0577
(903) 592-5934
(903) 597-8822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
05/30/2007
Last updated
06/22/2021
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