Dr Gary Michael Smith, DDS MSD SC is a
Dentist - Periodontics based in Wawwatosa, Wisconsin. Dr Gary Michael Smith is licensed to practice in Wisconsin (license number 492G) and his current practice location is
2600 N Mayfair Rd, Suite 825, Wawwatosa, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 257-3170.
NPI number for Dr Gary Michael Smith is 1912045709 and his current mailing address is 2600 N Mayfair Rd, Suite 825, Wawwatosa, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912045709.
Healthcare Provider's Profile
| Full Name | Dr Gary Michael Smith |
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| Gender | Male |
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| Speciality | Dentist - Periodontics |
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| Location | 2600 N Mayfair Rd, Wawwatosa, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912045709
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Gary Michael Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912045709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223P0300X | Dentist - Periodontics | 492G (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary Michael Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gary Michael Smith, DDS MSD SC
2600 N Mayfair Rd, Suite 825,
Wawwatosa, WI 53226
Ph: (414) 257-3170 | Dr Gary Michael Smith, DDS MSD SC
2600 N Mayfair Rd, Suite 825,
Wawwatosa, WI 53226
Ph: (414) 257-3170 |
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