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Dr. Woody Lyle Smithey JR., DDS
General Practice Dentistry in Ruston, Louisiana
NPI 1114013182

Woody Lyle Smithey JR. is a General Practice Dentistry based in Ruston, LA and is specialized in General Practice. Woody Lyle Smithey JR. practices in Ruston, LA and has the professional credentials of DDS. The NPI Number for Woody Lyle Smithey JR. is 1114013182 and holds a License No. LA 4115 (Louisiana).

The current practice location address for Woody Lyle Smithey JR. is 900 S Vienna St, Ruston, LA and can be reached out via phone at 318-251-0334 and via fax at 318-255-3538.

Location: 900 S Vienna St, Ruston, LA, 71270-5830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114013182
Provider Name
Woody Lyle Smithey JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
900 S Vienna St, Ruston, LA, 71270-5830
Phone Number
318-251-0334
Fax Number
318-255-3538
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841153 05 LA
842233 01 LA UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
900 S Vienna St
City
Ruston
State
Louisiana
Zip
71270-5830
Phone Number
318-251-0334
Fax Number
318-255-3538
person
Provider Business Mailing Address Details
Address
900 S Vienna St
City
Ruston
State
Louisiana
Zip
71270-5830
Phone Number
318-251-0334
Fax Number
318-255-3538
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
LA 4115 (Louisiana)
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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