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Timothy Alan Smith, CD
Denturist in Sandy, Oregon
NPI 1699933424

Timothy Alan Smith is a Denturist based in Sandy, OR. Timothy Alan Smith practices in Sandy, OR and has the professional credentials of CD. The NPI Number for Timothy Alan Smith is 1699933424 and holds a License No. DT-DO-671615 (Oregon).

The current practice location address for Timothy Alan Smith is 38565 Proctor Blvd, Sandy, OR and can be reached out via phone at 503-668-8914.

Location: 38565 Proctor Blvd, Sandy, OR, 97055-0744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699933424
Provider Name
Timothy Alan Smith
Credential
CD
Provider Entity Type
Individual
Gender
Male
Address
38565 Proctor Blvd, Sandy, OR, 97055-0744
Phone Number
503-668-8914
Fax Number
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
38565 Proctor Blvd
City
Sandy
State
Oregon
Zip
97055-0744
Phone Number
503-668-8914
Fax Number
person
Provider Business Mailing Address Details
Address
38565 Proctor Blvd
City
Sandy
State
Oregon
Zip
97055-0744
Phone Number
503-668-8914
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DT-DO-671615 (Oregon)
Definition
Definition to come.
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