Jesse Smith DDS LLC

NPI #1841778123 in Saint Robert, Missouri

Provider Information

NPI Number: 1841778123
Entity Type: Organization
Organization Name: Jesse Smith DDS LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 30, 2018
Last Updated: Jul 30, 2018

Practice Location

Address: 441 MARSHALL DR
City: Saint Robert
State: Missouri
ZIP Code: 65584-5603
Phone: (573) 336-5599

Authorized Official

Name: DR. JESSE SMITH, DDS
Title: OWNER
Phone: (573) 336-5599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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