Male or Other

Dr. Kevin C. Smith DDS

Dentist in North Chatham, MA(View on Map)

Full Name

Dr. Kevin Charles Smith DDS

NPI Number

1467469692

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/01/2006

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

19628

Contact
Information

Purpose

Mailing
Location

Address

212 ORLEANS RD STE A
212 ORLEANS RD STE A

City

North Chatham
North Chatham

State

MA
MA

Postal Code

02650-1184
02650-1184

Country

US
US

Telephone Number

(508) 945-4870
(508) 945-4870

Identifiers

Identifier

0297585
X08517

Identifier State

MA
MA

Identifier Issuer

Unknown
BLUE CROSS BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/31/2009

Provider Address

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