Individual
DR. JONATHAN GREGORY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MHS
Contact information
Practice address
601 E GEORGIA ST, WOODRUFF, SC 29388-1953
(864) 476-8315
(864) 476-8290
Mailing address
601 E GEORGIA ST, WOODRUFF, SC 29388-1953
(864) 476-8315
(864) 476-8290
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3534
SC
Other
Enumeration date
07/18/2007
Last updated
05/26/2009
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