DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SCOTT WADE SMITH, DMD

Active Sole Proprietor

MR. SCOTT WADE SMITH, DMD is a Dentist healthcare provider located in LOGANVILLE, Georgia. NPI 1902971765 is currently active in the NPPES registry. Verify at CMS.

Dentist · LOGANVILLE, GA

Registration Details

NPI Number
1902971765
Provider Type
Individual
Gender
Male
NPI Issued
Nov 21, 2006 (19.743967781378 yrs)
Last Updated
Jul 8, 2007
License
10571 (GA)
Sole Proprietor
Yes

Practice Information

Address
4376 LAWRENCEVILLE RD
LOGANVILLE, GA, 300522335
Browse GA providers · Browse ZIP 30052
Phone
7704660363
Fax
7704660182
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LOGANVILLE, GA

Name Credential NPI
DR. LOLA COLBERT DDS 1285761692
DR. SHABANA QAYYUM ERATTUPARAMBIL DDS 1083867493
DR. YAHAZIEL SIMON D.M.D. 1649720079
JINNY PARK DMD 1811620677
DR. SIMRAN PATEL DMD 1568205383
DR. MINSEUNG KIM DMD 1306682687
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.