Dr. Shane David Smith, M.D
Dermatology in Glen Burnie, MD. Individual provider (NPI-1).
NPI number1124476676
StatusActive
Last updated in NPPESApr 14, 2025
Details
- NPI
- 1124476676
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shane David Smith
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2016
- Certification date
- Apr 14, 2025
- Last updated
- Apr 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | D0096028 | MD | Yes |
Practice location
810 Landmark Dr Ste 217-219Glen Burnie, MD 21061-4987
Phone 443-351-3376
Mailing address
1306 Concourse Dr Ste 201Linthicum Heights, MD 21090-1033
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Other Dermatology Physician providers in Glen Burnie, MD
- Anne Arundel Dermatology, PANPI 1114751260
- Anne Arundel Dermatology, PANPI 1932933983
- Marianne E Dawn, MDNPI 1033252390
- Chikoti Mibenge Wheat, MDNPI 1619210598
All 5 Dermatology Physician providers in Glen Burnie · All 2,953 providers in Glen Burnie
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