Keith Shipley Smith II
Prosthodontist
3212 Gulf Gate Dr
Sarasota
, Florida 34231-2404
Keith Shipley Smith II
Prosthodontist
3212 Gulf Gate Dr
Sarasota
, Florida 34231-2404
(941) 924-8956
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Keith Shipley Smith II
- 3212 Gulf Gate Dr
- Sarasota, FL
- Zip : 34231-2404
- Fax : (941) 924-8956
- Phone : (941) 921-2122
Second Address
- Keith Shipley Smith II
- 3212 Gulf Gate Dr
- Sarasota, FL
- Zip : 34231-2404
- Fax : (941) 924-8956
- Phone : (941) 921-2122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | DN13173 | FL |
National Provider Identifier
| NPI | 1235148859 |
|---|---|
| Provider Name | Keith Shipley Smith II |
| First Address | Sarasota, FL 34231-2404 |
| Second Address | Sarasota, FL 34231-2404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2006 |
| Last Update Date | 05/07/2013 |
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.