Provider Demographics
NPI:1942673512
Name:A. P. SMITHWICK D.D.S. III PROFESSIONAL LLC
Entity Type:Organization
Organization Name:A. P. SMITHWICK D.D.S. III PROFESSIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:SMITHWICK
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-779-5306
Mailing Address - Street 1:125 INVERNESS DR E STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5139
Mailing Address - Country:US
Mailing Address - Phone:303-779-5306
Mailing Address - Fax:
Practice Address - Street 1:125 INVERNESS DR E STE 300
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5139
Practice Address - Country:US
Practice Address - Phone:303-779-5306
Practice Address - Fax:303-779-1822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN002018251223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty