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Organization

SMITH AND BROWN FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHEAL R SMITH D.M.D. (DENTIST)
(606) 549-0374
Entity
Organization

Contact information

Practice address
821 S HWY 25W, WILLIAMSBURG, KY 40769
(606) 549-0374
Mailing address
PO BOX 547, WILLIAMSBURG, KY 40769-0547
(606) 549-0374

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5249
KY
1223G0001X
General Practice Dentistry
8272
KY

Other

Enumeration date
11/03/2011
Last updated
11/03/2011
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