| Robert E. Smith Dds Mph | |
|
115 New Haven Ave Derby CT 06418-2154 | |
| (203) 732-4747 | |
| (203) 734-4101 |
| Full Name | Robert E. Smith Dds Mph |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 115 New Haven Ave, Derby, Connecticut |
| Authorized Official Name and Position | Lynanne Madgic (OFFICE MANAGER) |
| Authorized Official Contact | 2037324747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E. Smith Dds Mph 115 New Haven Ave Derby CT 06418-2154 Ph: (203) 732-4747 | Robert E. Smith Dds Mph 115 New Haven Ave Derby CT 06418-2154 Ph: (203) 732-4747 |
| NPI Number | 1134478647 |
|---|---|
| Provider Enumeration Date | 08/30/2012 |
| Last Update Date | 08/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134478647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010810 (Connecticut) | Primary |
| 124Q00000X | Dental Hygienist | 007110 (Connecticut) | Secondary |
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