Individual
BRIAN M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
101 E LEHIGH AVE, PM, PHILADELPHIA, PA 19125-1011
(215) 707-3613
(215) 707-5405
Mailing address
101 E LEHIGH AVE, PM, PHILADELPHIA, PA 19125-1011
(215) 707-3613
(215) 707-5405
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS024550L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012478530006
—
PA
Enumeration date
10/12/2005
Last updated
04/25/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us