Provider Demographics
NPI:1386101673
Name:SMITH, HUBBELL J (DDS)
Entity type:Individual
Prefix:
First Name:HUBBELL
Middle Name:J
Last Name:SMITH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3427 GLENMORE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-5434
Mailing Address - Country:US
Mailing Address - Phone:513-662-4555
Mailing Address - Fax:513-662-0931
Practice Address - Street 1:3427 GLENMORE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-5434
Practice Address - Country:US
Practice Address - Phone:513-662-4555
Practice Address - Fax:513-662-0931
Is Sole Proprietor?:No
Enumeration Date:2019-02-23
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.025874122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist