Provider Demographics
NPI:1992968267
Name:SMITH, CARLOS STRINGER (DDS)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:STRINGER
Last Name:SMITH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 NORTH 12TH STREET
Mailing Address - Street 2:FACULTY'S PRIVATE PRACTICE
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-5064
Mailing Address - Country:US
Mailing Address - Phone:804-828-1922
Mailing Address - Fax:
Practice Address - Street 1:520 NORTH 12TH STREET
Practice Address - Street 2:FACULTY'S PRIVATE PRACTICE
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5064
Practice Address - Country:US
Practice Address - Phone:804-828-1922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8640122300000X
VA0401414401122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5912748Medicaid