Individual
DOUGLAS G. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11550 CHAPMAN HWY, SEYMOUR, TN 37865-5044
(865) 579-3368
(865) 579-3369
Mailing address
11550 CHAPMAN HWY, SEYMOUR, TN 37865-5044
(865) 579-3368
(865) 579-3369
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 4185
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058491
BCBS PROVIDER ID
TN
01
—
641244
UNITED CONCORDIA PROV. ID
TN
Enumeration date
11/08/2006
Last updated
08/02/2007
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