NPI 1124476676

Shane David Smith, MD

Practitioner Dermatology Physician Glen Burnie, MD

Practice location

Address: 810 Landmark Dr STE 217-219, Glen Burnie, MD 21061-4987
Phone: (443) 351-3376
Mailing address: 1306 Concourse Dr STE 201, Linthicum Heights, MD 21090-1033

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence D0096028 (MD)

Other Dermatology providers in Maryland →

Registry record

NPI: 1124476676
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2016
Record last updated: 14 Apr 2025

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.