Organization
WESLEY B SMITH DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY B SMITH DDS (PRESIDENT)
(919) 467-9313
Entity
Organization
Contact information
Practice address
130 PRESTON EXECUTIVE DR STE 203, CARY, NC 27513-8433
(919) 467-9313
(919) 467-5015
Mailing address
130 PRESTON EXECUTIVE DR STE 203, CARY, NC 27513-8433
(919) 467-9313
(919) 467-5015
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
NC6471
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336156025
INDIVIDUAL NPI
NC
01
—
97964
BCBS
NC
01
—
U56461
MEDICARE
NC
Enumeration date
04/03/2008
Last updated
04/03/2008
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