Individual
DR. JENNIFER E SMITH WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
575 BOYLSTON ST, 5TH FLOOR, BOSTON, MA 02116
(617) 267-7002
(617) 536-1568
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16418
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273015
—
MA
01
—
16537
HARVARD PILGRIM HEALTHCAR
MA
01
—
X06271SM
BCBS
MA
Enumeration date
02/15/2006
Last updated
07/27/2007
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