IndividualActive
Gregory Smith, D.D.S.
NPI 1285728998 · Periodontics · Phoenix, AZ
Provider details
- NPI number
- 1285728998
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- D2500 (AZ)
Specialties & taxonomies
Dental Providers
Practice location
4212 N. 16th St
Phoenix Indian Medical Center
Phoenix, AZ 85016
Phone: (602) 263-1511
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 31001-0698
Pasadena, CA 91110-0698
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.