Provider Demographics
NPI:1669065124
Name:SMITH, KARTER MICHAEL (DMD)
Entity type:Individual
Prefix:DR
First Name:KARTER
Middle Name:MICHAEL
Last Name:SMITH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 OWENS DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-1818
Mailing Address - Country:US
Mailing Address - Phone:256-679-2961
Mailing Address - Fax:
Practice Address - Street 1:4004 BALMORAL DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6544
Practice Address - Country:US
Practice Address - Phone:256-833-0030
Practice Address - Fax:256-883-0030
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL69301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice