Provider Demographics
NPI:1003045493
Name:SMITHWICK, ALFRED PATRICK III (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:PATRICK
Last Name:SMITHWICK
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22986 E SMOKY HILL RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1382
Mailing Address - Country:US
Mailing Address - Phone:443-756-7119
Mailing Address - Fax:
Practice Address - Street 1:22986 E SMOKY HILL RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1382
Practice Address - Country:US
Practice Address - Phone:443-756-7119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN002018251223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry