| Larry G. Smith, D.d.s., Inc. | |
|
605 Barnes Ave Alva OK 73717-2231 | |
| (580) 327-4522 | |
| (580) 327-4525 |
| Full Name | Larry G. Smith, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 605 Barnes Ave, Alva, Oklahoma |
| Authorized Official Name and Position | Larry G Smith (OWNER/DOCTOR) |
| Authorized Official Contact | 5803274522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry G. Smith, D.d.s., Inc. 605 Barnes Ave Alva OK 73717-2231 Ph: (580) 327-4522 | Larry G. Smith, D.d.s., Inc. 605 Barnes Ave Alva OK 73717-2231 Ph: (580) 327-4522 |
| NPI Number | 1194989327 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194989327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4138 (Oklahoma) | Primary |
New Image Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1172 E. Oklahoma Blvd, Alva, OK 73717 Phone: 580-327-1152 Fax: 580-327-6877 |