Dr. Allen Dene Smith, DDS
Dentist in Lake Havasu, AZ. Individual provider (NPI-1).
NPI number1154636033
StatusActive
Last updated in NPPESOct 22, 2021
Details
- NPI
- 1154636033
- Entity type
- Individual (NPI-1)
- Name
- Dr. Allen Dene Smith
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2010
- Certification date
- Oct 22, 2021
- Last updated
- Oct 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D010799 | AZ | Yes |
| 122300000X | Dentist | 30-023313 | OH |
Practice location
45 Capri Blvd Suite GLake Havasu, AZ 86403-5657
Phone 650-291-0068
Mailing address
45 Capri Blvd Suite GLake Havasu, AZ 86403-5657
Phone 650-291-0068
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