Individual
DR. JOHN ALEXANDER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
136 E BROADWAY, BEL AIR, MD 21014-2904
(410) 893-8706
(410) 893-3691
Mailing address
136 E BROADWAY, BEL AIR, MD 21014-2904
(410) 893-8706
(410) 893-3691
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10065
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KS26
BLUE CROSS BLUE SHIELD MD
MD
Enumeration date
11/16/2006
Last updated
07/08/2007
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