| Michael Smith Dmd, Llc | |
|
16 N Jackson St Belleville IL 62220-1425 | |
| (618) 235-5141 | |
| (618) 235-2155 |
| Full Name | Michael Smith Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16 N Jackson St, Belleville, Illinois |
| Authorized Official Name and Position | Michael Thomas Smith (MANAGER) |
| Authorized Official Contact | 6182355141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Smith Dmd, Llc 16 N Jackson St Belleville IL 62220-1425 Ph: (618) 235-5141 | Michael Smith Dmd, Llc 16 N Jackson St Belleville IL 62220-1425 Ph: (618) 235-5141 |
| NPI Number | 1639679087 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 02/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639679087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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