Brian K. Smith, D.D.S., M.D., INC.
Dentist, Oral and Maxillofacial Surgery in Lakewood, OH. Organization (NPI-2).
NPI number1144561002
StatusActive
Last updated in NPPESMar 1, 2013
Details
- NPI
- 1144561002
- Entity type
- Organization (NPI-2)
- Legal business name
- Brian K. Smith, D.D.S., M.D., INC.
- Organization subpart
- No
- Enumeration date
- Mar 1, 2013
- Last updated
- Mar 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 3018374 | OH | Yes |
Practice location
14701 Detroit AveSuite 333
Lakewood, OH 44107-4109
Phone 216-228-4232 · Fax 216-228-9136
Mailing address
14701 Detroit AveSuite 333
Lakewood, OH 44107-4109
Phone 216-228-4232 · Fax 216-228-9136
Authorized official
Brian K Smith
Owner
2162284232
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All 6 Oral and Maxillofacial Surgery (Dentist) providers in Lakewood · All 1,056 providers in Lakewood
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