Individual
DR. ERIC SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
18935 GRAND RIVER, DETROIT, MI 48223-0000
(313) 835-8280
(313) 835-2879
Mailing address
18935 GRAND RIVER AVE, DETROIT, MI 48223-2273
(313) 835-8280
(313) 835-2879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13513
MI
1223G0001X
General Practice Dentistry
24302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1958213670
BCBS PIN
MI
Enumeration date
09/15/2006
Last updated
11/18/2015
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