Provider Demographics
NPI:1407289416
Name:SMITH, DONALD L III (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:L
Last Name:SMITH
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 CENTRAL AVE STE C
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6647
Mailing Address - Country:US
Mailing Address - Phone:406-651-5433
Mailing Address - Fax:406-281-8116
Practice Address - Street 1:3419 CENTRAL AVE STE C
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6647
Practice Address - Country:US
Practice Address - Phone:406-651-5433
Practice Address - Fax:406-281-8116
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTCHI-CHI-LIC-2605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor