Provider Demographics
NPI:1174551980
Name:SMITH, DENNIS M. MONELL (DC)
Entity type:Individual
Prefix:DR
First Name:DENNIS M.
Middle Name:MONELL
Last Name:SMITH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10694 JONES RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4278
Mailing Address - Country:US
Mailing Address - Phone:281-890-2225
Mailing Address - Fax:281-890-2625
Practice Address - Street 1:10694 JONES RD
Practice Address - Street 2:SUITE 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4278
Practice Address - Country:US
Practice Address - Phone:281-890-2225
Practice Address - Fax:281-890-2625
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5225111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A7036OtherBCBS PROVIDER
TX5225OtherDOCTOR OF CHIROPRACTIC