Provider Demographics
NPI:1851381677
Name:SMITH, BOBBI L (DDS)
Entity Type:Individual
Prefix:DR
First Name:BOBBI
Middle Name:L
Last Name:SMITH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 VULTEE BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2158
Mailing Address - Country:US
Mailing Address - Phone:615-367-2622
Mailing Address - Fax:
Practice Address - Street 1:3926 GALLATIN PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-2436
Practice Address - Country:US
Practice Address - Phone:615-226-2033
Practice Address - Fax:615-226-2078
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN81991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice