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Matthew Smith, DDS

NPI 1063844835 · on the registry since 2013 · sole proprietor

Practice

Address
554 Keily Street, Bureau Of Medicine And Surgery
Centralized Credentials & Privileging Directorate
Jacksonville, FL 32212
Phone
(757) 953-7011

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida