Individual
DR. JAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
999 PEACHTREE ST NE, SUITE # 795, ATLANTA, GA 30309
(404) 872-3140
Mailing address
999 PEACHTREE ST NE, SUITE # 795, ATLANTA, GA 30309-3915
(404) 872-3140
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
10743
GA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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