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Dr. Richard Tyler Smith, DDS
Oral and Maxillofacial Surgery (Dentist) in Green Bay, Wisconsin
NPI 1982084968

Richard Tyler Smith is a Oral and Maxillofacial Surgery (Dentist) based in Green Bay, WI and is specialized in Oral and Maxillofacial Surgery. Richard Tyler Smith practices in Green Bay, WI and has the professional credentials of DDS. The NPI Number for Richard Tyler Smith is 1982084968 and holds a License No. 4041 (Wisconsin).

The current practice location address for Richard Tyler Smith is 2581 Development Dr, Green Bay, WI and can be reached out via phone at 920-347-0400.

Location: 2581 Development Dr, Green Bay, WI, 54311-8320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982084968
Provider Name
Richard Tyler Smith
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2581 Development Dr, Green Bay, WI, 54311-8320
Phone Number
920-347-0400
Fax Number
Provider Enumeration Date
06/04/2015
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
2581 Development Dr
City
Green Bay
State
Wisconsin
Zip
54311-4247
Phone Number
920-347-0400
Fax Number
person
Provider Business Mailing Address Details
Address
2581 Development Dr
City
Green Bay
State
Wisconsin
Zip
54311-4247
Phone Number
920-347-0400
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6001447 (Wisconsin)
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
4041 (Arkansas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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