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Organization
JASON R. SMITH, DMD, FAMILY DENTISTRY
Active
Organization
JASON R. SMITH, DMD, FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON RAY SMITH D.M.D (DENTIST/OWNER)
(270) 524-5422
Entity
Organization
Contact information
Practice address
663 MAIN ST, MUNFORDVILLE, KY 42765-9436
(270) 524-5422
(270) 524-5847
Mailing address
PO BOX 68, MUNFORDVILLE, KY 42765-0068
(270) 524-5422
(270) 524-5847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8090
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60003977
—
KY
Enumeration date
10/18/2011
Last updated
10/18/2011
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