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Dr. John Patrick Smith, DDS

Dentist, General Practice in Delavan, WI. Individual provider (NPI-1).

NPI number1700974136
StatusActive
Last updated in NPPESOct 2, 2007

Details

NPI
1700974136
Entity type
Individual (NPI-1)
Name
Dr. John Patrick Smith
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Oct 11, 2006
Last updated
Oct 2, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice3790WIYes

Practice location

1114 Ann St Ste 1-Po # 487
Delavan, WI 53115-1938

Phone 262-728-8232 · Fax 262-728-8259

Mailing address

1114 Ann St Ste 1-Po # 487
Delavan, WI 53115-1938

Phone 262-728-8232 · Fax 262-728-8259

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Other General Practice Dentistry providers in Delavan, WI

All 10 General Practice Dentistry providers in Delavan · All 188 providers in Delavan

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