Jacob Roger Smith, DDS

NPI #1760056634 in Amite, Louisiana

Provider Information

NPI Number: 1760056634
Entity Type: Individual
Name: Jacob Roger Smith, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 16, 2021
Last Updated: Oct 13, 2022

Practice Location

Address: 416 N 2ND ST
City: Amite
State: Louisiana
ZIP Code: 70422-2420
Phone: (985) 748-4652

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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