NPI 1073770152

Frederic W Smith, MDDMD

Practitioner Oral and Maxillofacial Surgery (Dentist) Alexandria, LA

Practice location

Address: 1403 Peterman Dr, Alexandria, LA 71301-3433
Phone: (318) 443-7208
Fax: (318) 443-0046

Registered specialties (2)

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 23648 (TX)

Other Dentist providers in Louisiana →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 6461 (LA)

Registry record

NPI: 1073770152
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2008
Record last updated: 13 May 2016

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.