institution
Kimberly Blair Smith Dmd Pa
Dental Clinic/Center in Mendenhall, Mississippi
NPI 1891842332

Kimberly Blair Smith Dmd Pa is a Dental Clinic/Center based in Mendenhall, MS and is specialized in Dental. Kimberly Blair Smith Dmd Pa practices in Mendenhall, MS. The NPI Number for Kimberly Blair Smith Dmd Pa is 1891842332 and holds a License No. 3186-01 (Mississippi).

The current practice location address for Kimberly Blair Smith Dmd Pa is 409 Main St N, Mendenhall, MS and can be reached out via phone at 601-847-1223 and via fax at 601-847-9131.

Location: 409 Main St N, Mendenhall, MS, 39114-3318
institution
Provider Profile Details
NPI Number
1891842332
Provider Name
Kimberly Blair Smith Dmd Pa
Credential
Provider Entity Type
Organization
Address
409 Main St N, Mendenhall, MS, 39114-3318
Phone Number
601-847-1223
Fax Number
601-847-9131
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09015751 05 MS
institution
Provider Business Practice Location Address Details
Address
409 Main St N
City
State
Zip
39114-3318
Phone Number
601-847-1223
Fax Number
601-847-9131
person
Provider Business Mailing Address Details
Address
409 Main St N
City
State
Zip
39114-3318
Phone Number
601-847-1223
Fax Number
601-847-9131
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
3186-01 (Mississippi)
Definition
Definition to come...
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