Provider Demographics
NPI:1669811634
Name:DAVID W. SMITH, DDS PLLC
Entity type:Organization
Organization Name:DAVID W. SMITH, DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WATTS
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:901-754-8080
Mailing Address - Street 1:831 TIMBER CREEK DR
Mailing Address - Street 2:STE. #1
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-3108
Mailing Address - Country:US
Mailing Address - Phone:901-754-8080
Mailing Address - Fax:901-754-7903
Practice Address - Street 1:831 TIMBER CREEK DR
Practice Address - Street 2:STE. #1
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-3108
Practice Address - Country:US
Practice Address - Phone:901-754-8080
Practice Address - Fax:901-754-7903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-22
Last Update Date:2013-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty