Individual
DR. STACY G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
290 HIGHWAY 314, SUITE A, FAYETTEVILLE, GA 30214-7813
(770) 460-6060
(770) 461-0541
Mailing address
290 HIGHWAY 314, SUITE A, FAYETTEVILLE, GA 30214-7813
(770) 460-6060
(770) 461-0541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11268
GA
Other
Enumeration date
09/13/2006
Last updated
09/06/2023
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