Individual
DR. JOHN ROGER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3918 MONTCLAIR RD, SUITE 91W, BIRMINGHAM, AL 35213-2425
(205) 871-2302
(205) 871-2373
Mailing address
3918 MONTCLAIR RD, SUITE 91W, BIRMINGHAM, AL 35213-2425
(205) 871-2302
(205) 871-2373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3705
AL
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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