Vincent Robert Smith, DDS
Dentist, General Practice in Carolina Beach, NC. Individual provider (NPI-1).
NPI number1184635302
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1184635302
- Entity type
- Individual (NPI-1)
- Name
- Vincent Robert Smith
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4592 | NC | Yes |
Practice location
1300 Bridge Barrier RdCarolina Beach, NC 28428
Phone 910-458-9401 · Fax 910-458-3495
Mailing address
1300 Bridge Barrier RdCarolina Beach, NC 28428
Phone 910-458-9401 · Fax 910-458-3495
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