DR. Jethroe Joseph Smith, DDS

NPI #1811907280 in Dyer, Indiana

Provider Information

NPI Number: 1811907280
Entity Type: Individual
Name: DR. Jethroe Joseph Smith, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 425 JOLIET ST
Address 2: SUITE 311
City: Dyer
State: Indiana
ZIP Code: 46311
Phone: (219) 865-6555

Specialties & Taxonomy Codes

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

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