Provider Demographics
NPI:1801634282
Name:SMITH, DANIEL CURTIS (PHD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:CURTIS
Last Name:SMITH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4738 HINESLEY AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-3435
Mailing Address - Country:US
Mailing Address - Phone:765-749-7356
Mailing Address - Fax:
Practice Address - Street 1:4738 HINESLEY AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-3435
Practice Address - Country:US
Practice Address - Phone:765-749-7356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program