# JACQUELINE B SMITH DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285870188
- **Authorized official:** DR. JACQUELINE BROWN SMITH D.D.S (GENERAL DENTIST)
- **Authorized official phone:** (757) 424-0095

## Contact information

- **Practice address:** 1385 FORDHAM DR STE 106, VIRGINIA BEACH, VA 23464-5345
- **Practice address phone:** (757) 424-0095
- **Practice address fax:** (757) 424-2226
- **Mailing address:** 1385 FORDHAM DR STE 106, VIRGINIA BEACH, VA 23464-5345
- **Mailing address phone:** (757) 424-0095
- **Mailing address fax:** (757) 424-2226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401411605 | VA | Yes |

## Other

- **Enumeration date:** 12/23/2008
- **Last updated:** 12/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 899018V | — | NC |