| Doctor Name: | DR. ERIC WAYNE SMITH |
| NPI Number: | 1033232764 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS, M.D. |
| License Number: | 2901018640 |
| Business Practice Address: | 1820 Whittaker Rd Ypsilanti, MI - 481979728 |
| Business Phone Number: | 7344803600 |
| Business Fax Number: | |
| Mailing Address: | 17188 English Rd, MANCHESTER |
| State: | MI |
| Postal Code: | 481589643 |
| Phone Number: | 7343685617 |
| Fax Number: | |
| NPI Enumeration Date: | 04/09/2007 |
| NPI Last Update Date: | 07/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 2901018640 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |