Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY MICHAEL SMITH, DDS MSD SC
ActiveDR. GARY MICHAEL SMITH, DDS MSD SC is a Periodontology healthcare provider located in WAWWATOSA, Wisconsin. NPI 1912045709 is currently active in the NPPES registry. Verify at CMS.
Periodontology · WAWWATOSA, WI
Registration Details
- NPI Number
- 1912045709
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2007 (19.562151834484 yrs)
- Last Updated
- Jul 8, 2007
- License
-
492G (WI)
Practice Information
- Address
-
2600 N MAYFAIR RDSUITE 825WAWWATOSA, WI, 53226Browse WI providers · Browse ZIP 53226
- Phone
- 4142573170
- Fax
- 4142572054
- Primary Specialty
-
Periodontology
1223P0300X
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.