Organization
BARBARA J SMITH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA J SMITH DDS (PRESIDENT)
(563) 886-2752
Entity
Organization
Contact information
Practice address
423 CEDAR ST, TIPTON, IA 52772-1730
(563) 886-2752
Mailing address
423 CEDAR ST, TIPTON, IA 52772-1730
(563) 886-2752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07067
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100008
—
IA
Enumeration date
11/17/2008
Last updated
11/17/2008
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