A. TODD SMITH, DDS PA
Surgery Yellow Pages
Winston Salem, North Carolina
Provider NPI: 1275500167
Organization Information:Organization Name: A. TODD SMITH, DDS PA
Practice Location:
1601 SOUTH HAWTHORNE ROAD WINSTON SALEM, NC 27103 US
Tel: 336-765-9550 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1601 SOUTH HAWTHORNE ROAD WINSTON SALEM, NC 27103 US
Tel: 336-765-9550 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 204E00000X | Physicians Oral & Maxillofacial Surgery | NC | 5848 |
N | 204E00000X | Physicians Oral & Maxillofacial Surgery | NC | 4949 |
Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | NC | 3596 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7997761 | NC | 05 | |
8997869 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin