MD David Phillips Smack, NPI 1073501912
MOHS-Micrographic Surgery Physician in Easton, MD, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1073501912
NPI Entity Type Individual
Provider Name MD David Phillips Smack
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 5 Caulk Lane, Suite 2, 2nd Floor, Easton, MD, US
Provider Mailing Address Po Box 2350, Easton, MD, US, 216018945
Gender Male
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

207ND0101X

Taxonomy Name MOHS-Micrographic Surgery Physician
Classification

Dermatology

Group

Allopathic & Osteopathic Physicians

License No. D0040409
License State MD
Description The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Business Address

MD David Phillips Smack
5 Caulk Lane
Suite 2, 2nd Floor

Easton, MD, US

Phone: 410-822-9890
Fax: 410-763-9536

Mailing Address

MD David Phillips Smack
Po Box 2350
Easton, MD, US
ZIP 216018945
Phone: 410-822-9890
Fax: 410-763-9536

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207N00000X

Allopathic & Osteopathic Physicians

Dermatology

D0040409 MD No

207NS0135X

Allopathic & Osteopathic Physicians

Dermatology

D0040409 MD No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
070010482 MD MC RAILROAD 01
21D0931132 MD CLIA 01
KB59TA MD BLUE SHIELD 01
W0170001 MD BLUE SHIELD 01
248038 MD MAMSI PLANS 01

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