NPI 1255721650

Tanisha Smith

Practitioner Dental Hygienist Portsmouth, VA

Practice location

Address: 620 John Paul Jones Circle Nmcp -, Portsmouth, VA 23708
Phone: (757) 953-7011

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 6413 (MD)

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Registry record

NPI: 1255721650
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2015
Record last updated: 23 Jan 2015

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.