Dr. Gary Michael Smith, DDSMSDSC
Dr. Gary Michael Smith, DDSMSDSC practises Periodontics in Wawwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
2600 N Mayfair Rd Ste 825Wawwatosa, WI 53226 Not confirmed with CMS for 19 years — call before visiting
Phone: (414) 257-3170
Fax: (414) 257-2054
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 492G (WI) |
|---|
Record details
| NPI number | 1912045709 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDSMSDSC |
| Sole proprietor | No |
| NPI enumerated | February 2, 2007 |
| Last updated in NPPES | July 8, 2007 |