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Individual

DR. BRIAN KEITH SMITH

Active
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Individual

DR. BRIAN KEITH SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS MD

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30018374
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
35067574S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000141822
ANTHEM BCBS
OH
05
0811545
OH
01
150972
CIGNA
OH
01
605876
COMPDENT
OH
Enumeration date
10/20/2005
Last updated
01/28/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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