Individual
BENNETT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
495 WESTERN AVE, BRIGHTON, MA 02135-1007
(617) 783-0500
(617) 562-1398
Mailing address
99 POND AVE APT 521, BROOKLINE, MA 02445-7117
(248) 505-8591
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
292464
MA
208000000X
Pediatrics Physician
A168177
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2016
Last updated
04/10/2026
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