Provider Demographics
NPI:1689650806
Name:DANIEL S SMITHPETER, M.D.,P.C.
Entity Type:Organization
Organization Name:DANIEL S SMITHPETER, M.D.,P.C.
Other - Org Name:DELMARVA FAMILY RESOURCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER/CREDENTIALING SPECI
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CLENDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-770-5140
Mailing Address - Street 1:29466 PINTAIL DR
Mailing Address - Street 2:SUITE 9
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-9323
Mailing Address - Country:US
Mailing Address - Phone:410-770-5140
Mailing Address - Fax:410-770-5141
Practice Address - Street 1:29466 PINTAIL DR
Practice Address - Street 2:SUITE 9
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-9323
Practice Address - Country:US
Practice Address - Phone:410-770-5140
Practice Address - Fax:410-770-5141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0311101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty