Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE DAVID SMITH, M.D
ActiveDR. SHANE DAVID SMITH, M.D is a Dermatology healthcare provider located in GLEN BURNIE, Maryland. NPI 1124476676 is currently active in the NPPES registry. Verify at CMS.
Dermatology · GLEN BURNIE, MD
Registration Details
- NPI Number
- 1124476676
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2016 (10.249309527475 yrs)
- Last Updated
- Apr 14, 2025
- License
-
D0096028 (MD)
Practice Information
- Address
-
810 LANDMARK DR STE 217-219GLEN BURNIE, MD, 210614987Browse MD providers · Browse ZIP 21061
- Phone
- 4433513376
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in GLEN BURNIE, MD
| Name | Credential | NPI |
|---|---|---|
| MARIANNE E DAWN | MD | 1033252390 |
| CHIKOTI MIBENGE WHEAT | M.D. | 1619210598 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.