John B. Smith, Jr. Dmd, PA
Dentist, General Practice in Forest, MS. Organization (NPI-2).
NPI number1215067293
StatusActive
Last updated in NPPESAug 11, 2011
Details
- NPI
- 1215067293
- Entity type
- Organization (NPI-2)
- Legal business name
- John B. Smith, Jr. Dmd, PA
- Organization subpart
- No
- Enumeration date
- Mar 7, 2007
- Last updated
- Aug 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1040 Highway 35 SouthDrawer 30
Forest, MS 39074
Phone 601-469-3851 · Fax 601-469-4356
Mailing address
P O Drawer 30Forest, MS 39074
Phone 601-469-3851 · Fax 601-469-4356
Authorized official
John B Smith
Owner
6014693851
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