Individual
DR. JEREMY ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5400 LAWRENCEVILLE HWY NW STE D, LILBURN, GA 30047-5956
(770) 921-6606
Mailing address
860 S ABBEYWOOD PL, ROSWELL, GA 30075-3279
(770) 362-4102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13013
GA
Other
Enumeration date
10/04/2006
Last updated
10/31/2022
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