Frederic W Smith
Oral and Maxillofacial Surgeon
1403 Peterman Dr
Alexandria
, Louisiana 71301-3433
Frederic W Smith
Oral and Maxillofacial Surgeon
1403 Peterman Dr
Alexandria
, Louisiana 71301-3433
(318) 443-0046
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Frederic W Smith
- 1403 Peterman Dr
- Alexandria, LA
- Zip : 71301-3433
- Fax : (318) 443-0046
- Phone : (318) 443-7208
Second Address
- Frederic W Smith
- 1403 Peterman Dr
- Alexandria, LA
- Zip : 71301-3433
- Fax : (318) 443-0046
- Phone : (318) 443-7208
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 23648 | TX |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 6461 | LA |
National Provider Identifier
| NPI | 1073770152 |
|---|---|
| Provider Name | Frederic W Smith |
| First Address | Alexandria, LA 71301-3433 |
| Second Address | Alexandria, LA 71301-3433 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2008 |
| Last Update Date | 13/05/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.