Provider Demographics
NPI:1578665923
Name:SMITH, RONALD WOODROW (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:WOODROW
Last Name:SMITH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7039 MAYNARDVILLE HIGHWAY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-5735
Mailing Address - Country:US
Mailing Address - Phone:865-922-1613
Mailing Address - Fax:865-922-2993
Practice Address - Street 1:7039 MAYNARDVILLE HIGHWAY
Practice Address - Street 2:SUITE 1
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-5735
Practice Address - Country:US
Practice Address - Phone:865-922-1613
Practice Address - Fax:865-922-2993
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS3416122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist