Scott R. Smith Dds.,pc | |
770 Riverside Ave Suite #201 Adrian MI 49221-1476 | |
(517) 265-5577 | |
(517) 265-8068 |
Full Name | Scott R. Smith Dds.,pc |
---|---|
Speciality | Dentist |
Location | 770 Riverside Ave, Adrian, Michigan |
Authorized Official Name and Position | Scott Raymond Smith (PRESIDENT) |
Authorized Official Contact | 5172655577 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Scott R. Smith Dds.,pc 770 Riverside Ave Suite #201 Adrian MI 49221-1476 Ph: (517) 265-5577 | Scott R. Smith Dds.,pc 770 Riverside Ave Suite #201 Adrian MI 49221-1476 Ph: (517) 265-5577 |
NPI Number | 1609011311 |
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Provider Enumeration Date | 12/09/2008 |
Last Update Date | 06/17/2024 |
Medicare PECOS PAC ID | 7618235201 |
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Medicare Enrollment ID | O20180103003332 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609011311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12556 (* (Not Available)) | Primary |
Provider Name | Scott R Smith |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1154324002 PECOS PAC ID: 0446218473 Enrollment ID: I20041222000419 |
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