Jackson Family Dentistry

NPI #1457485732 in Jackson, Wyoming

Provider Information

NPI Number: 1457485732
Entity Type: Organization
Organization Name: Jackson Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 16, 2007
Last Updated: Mar 28, 2016

Practice Location

Address: 1115 MAPLEWAY
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (307) 733-7044

Authorized Official

Name: MR. CARY G. SMITH, D.M.D
Title: GENERAL PARTNER
Phone: (307) 733-7044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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