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Individual

DR. JOHNNY SHELDON SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
7066 HIGHWAY 64, OAKLAND, TN 38060-4042
(901) 466-1580
(901) 466-1581
Mailing address
245 COUNTRY PL, OAKLAND, TN 38060-4042
(901) 466-0597
(901) 466-1581

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000004890
TN

Other

Enumeration date
04/12/2006
Last updated
07/08/2007
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