Provider Demographics
NPI:1528255809
Name:SMELTZER, MARSHA FALK (DDS)
Entity type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:FALK
Last Name:SMELTZER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 WATER ST
Mailing Address - Street 2:
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-4421
Mailing Address - Country:US
Mailing Address - Phone:810-987-1444
Mailing Address - Fax:
Practice Address - Street 1:1101 WATER ST
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-4421
Practice Address - Country:US
Practice Address - Phone:810-987-1444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0124841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice