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Dr. Gary Michael Smith, DDSMSDSC
Periodontist in Wawwatosa, Wisconsin
NPI 1912045709

Gary Michael Smith is a Periodontist based in Wawwatosa, WI and is specialized in Periodontics. Gary Michael Smith practices in Wawwatosa, WI and has the professional credentials of DDSMSDSC. The NPI Number for Gary Michael Smith is 1912045709 and holds a License No. 492G (Wisconsin).

The current practice location address for Gary Michael Smith is 2600 N Mayfair Rd, Wawwatosa, WI and can be reached out via phone at 414-257-3170 and via fax at 414-257-2054.

Location: 2600 N Mayfair Rd, Wawwatosa, WI, 53226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912045709
Provider Name
Gary Michael Smith
Credential
DDSMSDSC
Provider Entity Type
Individual
Gender
Male
Address
2600 N Mayfair Rd, Wawwatosa, WI, 53226
Phone Number
414-257-3170
Fax Number
414-257-2054
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2600 N Mayfair Rd
City
Wawwatosa
State
Wisconsin
Zip
53226
Phone Number
414-257-3170
Fax Number
414-257-2054
person
Provider Business Mailing Address Details
Address
2600 N Mayfair Rd
City
Wawwatosa
State
Wisconsin
Zip
53226
Phone Number
414-257-3170
Fax Number
414-257-2054
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
492G (Wisconsin)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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