Individual
DR. DALLAS AARON SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 MUIRS CHAPEL RD, LOWER LEVEL, GREENSBORO, NC 27410-6161
(336) 852-3300
(336) 387-2165
Mailing address
PO BOX 4778, GREENSBORO, NC 27404-4778
(336) 542-2900
(336) 542-2929
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
20965
NC
2085N0904X
Nuclear Radiology Physician
20965
NC
2085R0202X
Diagnostic Radiology Physician
Primary
20965
NC
2085U0001X
Diagnostic Ultrasound Physician
20965
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8977458
—
NC
01
—
P00725388
RAILROAD MEDICARE
NC
Enumeration date
06/09/2005
Last updated
04/26/2022
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