Individual
DR. SHAUN LOCKSLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS PLLC
Contact information
Practice address
8223 W ATLANTIC BLVD, CORAL SPRINGS, FL 33071
(954) 368-0105
(954) 526-1747
Mailing address
8223 W ATLANTIC BLVD, CORAL SPRINGS, FL 33071
(954) 368-0105
(954) 526-1747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14770
MD
122300000X
Dentist
DEN1000968
DC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401413014
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN23095
FL
Other
Enumeration date
04/07/2011
Last updated
05/23/2019
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