NPI 1003955436

Michael Smith, DMD

Practitioner Dentist Oak Lawn, IL

Practice location

Address: 5669 W 95th St, Oak Lawn, IL 60453-2382
Phone: (708) 425-5300
Fax: (708) 229-2556

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 019030333 (IL)

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Registry record

NPI: 1003955436
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2007
Record last updated: 11 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.