Organization · NPI-2
A. Todd Smith, DDS PA
Oral & Maxillofacial Surgery · Winston Salem, NC
NPI number1275500167
StatusActive
Last updated in NPPESMar 19, 2010
Details
- NPI
- 1275500167
- Entity type
- Organization (NPI-2)
- Legal business name
- A. Todd Smith, DDS PA
- Organization subpart
- No
- Enumeration date
- Mar 1, 2006
- Last updated
- Mar 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | 3596 | NC | Yes |
| 204E00000X | Oral & Maxillofacial Surgery | 5848 | NC | |
| 204E00000X | Oral & Maxillofacial Surgery | 4949 | NC |
Practice location
1601 South Hawthorne RoadWinston Salem, NC 27103-4127
Phone 336-765-9550 · Fax 336-765-9552
Mailing address
1601 South Hawthorne RoadWinston Salem, NC 27103-4127
Phone 336-765-9550 · Fax 336-765-9552
Authorized official
A Todd Smith
Oral Surgeon
3367659550
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