Provider Demographics
NPI:1437249802
Name:SMITH, FRANCIS JOSEPH (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:JOSEPH
Last Name:SMITH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14440 CHERRY LANE COURT
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4946
Mailing Address - Country:US
Mailing Address - Phone:301-953-3668
Mailing Address - Fax:301-953-3854
Practice Address - Street 1:14440 CHERRY LANE COURT
Practice Address - Street 2:SUITE 104
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4946
Practice Address - Country:US
Practice Address - Phone:301-953-3668
Practice Address - Fax:301-953-3854
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1192213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1192OtherMD STATE LISC #
MD323628500Medicaid
MD1192OtherMD STATE LISC #