Provider Demographics
NPI:1568470250
Name:SHELBY R. SMITHEY, D.D.S., P.A.
Entity Type:Organization
Organization Name:SHELBY R. SMITHEY, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SMITHEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-233-0073
Mailing Address - Street 1:431 KEISLER DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7064
Mailing Address - Country:US
Mailing Address - Phone:919-233-0073
Mailing Address - Fax:919-233-2933
Practice Address - Street 1:431 KEISLER DR
Practice Address - Street 2:SUITE 101
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7064
Practice Address - Country:US
Practice Address - Phone:919-233-0073
Practice Address - Fax:919-233-2933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty