Individual
DR. JAMIE LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
4207 N PROSPECT RD, PEORIA HEIGHTS, IL 61616-7754
(309) 685-4444
Mailing address
11013 N ONYX LN, DUNLAP, IL 61525-9579
(309) 243-8359
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
01927346
IL
1223P0221X
Pediatric Dentistry
Primary
021002311
IL
Other
Enumeration date
05/24/2007
Last updated
08/22/2013
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