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Dr. Gary Alfred Smith, DDS
General Practice Dentistry in Council Bluffs, Iowa
NPI 1063441384

Gary Alfred Smith is a General Practice Dentistry based in Council Bluffs, IA and is specialized in General Practice. Gary Alfred Smith practices in Council Bluffs, IA and has the professional credentials of DDS. The NPI Number for Gary Alfred Smith is 1063441384 and holds a License No. 6699 (Iowa).

The current practice location address for Gary Alfred Smith is 2612 W Broadway, Council Bluffs, IA and can be reached out via phone at 712-323-3615 and via fax at 712-325-6155.

Location: 2612 W Broadway, Council Bluffs, IA, 51501-3510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063441384
Provider Name
Gary Alfred Smith
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2612 W Broadway, Council Bluffs, IA, 51501-3510
Phone Number
712-323-3615
Fax Number
712-325-6155
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
039537 01 PA UNITED CONCORDIA
18575 01 IA DELTA DENTAL-IA
5334 01 NE BLUE CROSS/BLUE SHIELD-NE
18575 01 IA WELLMARK
institution
Provider Business Practice Location Address Details
Address
2612 W Broadway
City
Council Bluffs
State
Iowa
Zip
51501-3510
Phone Number
712-323-3615
Fax Number
712-325-6155
person
Provider Business Mailing Address Details
Address
2612 W Broadway
City
Council Bluffs
State
Iowa
Zip
51501-3510
Phone Number
712-323-3615
Fax Number
712-325-6155
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6699 (Iowa)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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