Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gary Michael Smith, DDSMSDSC

Individual provider Periodontics · NPI 1912045709

Dr. Gary Michael Smith, DDSMSDSC is a Periodontics in Wawwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

2600 N Mayfair Rd Ste 825
Wawwatosa, WI 53226
Phone: (414) 257-3170
Fax: (414) 257-2054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 492G (WI)

Record details

NPI number1912045709
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMSDSC
Sole proprietorNo
NPI enumeratedFebruary 2, 2007
Last updated in NPPESJuly 8, 2007