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DR. and Mrs. Smith, or Dr. and Mr. Smith, depending on the genders of the couple, but, in the second case, you might want to use the form Dr. Smith and Mr. Smith since men easily get their shorts in a knot over being upstaged by their spouses (or by anyone, for that matter).

If the couple are same-sex I would suggest always separating the names: Dr. Smith and Mr. LeBlanc or Dr. Smith and Ms. Leblanc.

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Contrary to the opinion of the poster above, men of education do not "easily get their shorts in a knot", where etiquette dictates proper form. If they do, perhaps it is time to upgrade your circle of associates.

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Q: Proper way to address and envelope for a dr and spouse?
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