Individual
DR. RANDAL C SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 JACKSON PARK RD, KANNAPOLIS, NC 28083-3662
(704) 932-3171
(704) 932-1480
Mailing address
700 JACKSON PARK RD, KANNAPOLIS, NC 28083-3662
(704) 932-3171
(704) 932-1480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4811
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97942
BCBS
NC
Enumeration date
03/06/2007
Last updated
07/08/2007
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