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Dr. Wayne R. Smith, D.M.D.

Dentist in Lindenhurst, NY. Individual provider (NPI-1).

NPI number1447581392
StatusActive
Last updated in NPPESJan 15, 2010

Details

NPI
1447581392
Entity type
Individual (NPI-1)
Name
Dr. Wayne R. Smith
Credential
D.M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 15, 2010
Last updated
Jan 15, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist042071-1NYYes

Practice location

656 N. Wellwood Ave
Louis Lasky Memorial Medical & Dental Center
Lindenhurst, NY 11757

Phone 631-225-1010

Mailing address

65 Glengariff Rd.
Massapequa Park, NY 11762-3022

Phone 516-826-8967

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