Judson Smith

NPI 1952717753 · on the registry since 2014

Practice

Address: 2323 N Mayfair Rd Ste 102
Milwaukee, WI 53226
Phone: (414) 257-1161
Fax: (414) 257-0194
Organisation at this address: Richard V Colan, Md, Sc
Milwaukee Oral Surgery & Implants Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin