Provider Demographics
NPI:1508959842
Name:SMITH, ROBERT HUGHES JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HUGHES
Last Name:SMITH
Suffix:JR
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 1:1605 N GARLAND AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-9418
Mailing Address - Country:US
Mailing Address - Phone:972-272-3496
Mailing Address - Fax:
Practice Address - Street 1:1605 N GARLAND AVE STE B
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-9418
Practice Address - Country:US
Practice Address - Phone:972-272-3496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice