Provider Demographics
NPI:1992917330
Name:SMARTT, WILLIAM H IV (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:SMARTT
Suffix:IV
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:6230 HIGHLAND PLACE WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4036
Mailing Address - Country:US
Mailing Address - Phone:865-584-5611
Mailing Address - Fax:
Practice Address - Street 1:6230 HIGHLAND PLACE WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4036
Practice Address - Country:US
Practice Address - Phone:865-584-5611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS002718122300000X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223P0700XDental ProvidersDentistProsthodontics