Jackie L Smith, D.D.S.

NPI #1609186576 in Branson, Missouri

Provider Information

NPI Number: 1609186576
Entity Type: Individual
Name: Jackie L Smith, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 13, 2010
Last Updated: Oct 13, 2010

Practice Location

Address: 154 WELFORD LN
City: Branson
State: Missouri
ZIP Code: 65616-3418
Phone: (417) 332-2980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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