Organization
STEVENSON SMITH DMD LLC
Active
Other names
Smith & Jackson Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
STEVENSON SMITH DMD (OWNER)
(801) 885-7639
Entity
Organization
Contact information
Practice address
911 COUNTRY CLUB RD STE 222, EUGENE, OR 97401-6046
(801) 885-7639
Mailing address
34313 DEERWOOD DR, EUGENE, OR 97405-9662
(801) 885-7639
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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