Individual
DR. CHARLES WILLIAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5039 HWY 52N W. FRONTAGE, ROCHESTER, MN 55901
(507) 282-7905
(507) 286-9382
Mailing address
5039 HIGHWAY 52 NORTH FRONTAGE ROAD, ROCHESTER, MN 55901
(507) 282-7905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9387
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5011757
MD TAX ID
MN
01
—
555133
MN DEPT OF HEALTH
MN
Enumeration date
08/25/2005
Last updated
07/13/2026
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