Provider Demographics
NPI:1134538184
Name:SMITH, HERBERT JOHN (DVM)
Entity type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:JOHN
Last Name:SMITH
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 BLACKWELLS WHARF RD
Mailing Address - Street 2:
Mailing Address - City:BURGESS
Mailing Address - State:VA
Mailing Address - Zip Code:22432-2112
Mailing Address - Country:US
Mailing Address - Phone:804-453-5519
Mailing Address - Fax:804-453-5519
Practice Address - Street 1:934 BLACKWELLS WHARF RD
Practice Address - Street 2:
Practice Address - City:BURGESS
Practice Address - State:VA
Practice Address - Zip Code:22432-2112
Practice Address - Country:US
Practice Address - Phone:804-453-5519
Practice Address - Fax:804-453-5519
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0301001614174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian