Alexandra Bacon Smith, DMD

Dentist · Springfield, IL

Individual Active NPI

NPI number 1215374277

Practice location

2965 S Macarthur Blvd Ste a
Springfield, IL 62704-5087
Phone
(217) 698-1717
Fax
(217) 698-7134

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NPI record

NPI
1215374277
Entity type
Individual (Type 1)
Enumeration date
May 31, 2013
Last updated
May 31, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019029389 IL

About Dr. Smith

Alexandra Bacon Smith, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2965 S Macarthur Blvd Ste a, Springfield, IL 62704-5087. The NPI number 1215374277 was assigned on May 31, 2013 and the record was last updated on May 31, 2013.

Dr. Smith lists a license in the registry: #019029389 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alexandra Bacon Smith, DMD?

The NPI number is 1215374277.

What is the phone number of Dr. Smith?

The phone number listed for the practice location is (217) 698-1717.

Where is Dr. Smith located?

2965 S Macarthur Blvd Ste a, Springfield, IL 62704-5087.

What is the taxonomy code for Dr. Smith?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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