Organization
JOHN B. SMITH, JR. DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B SMITH DMD (OWNER)
(601) 469-3851
Entity
Organization
Contact information
Practice address
1040 HIGHWAY 35 SOUTH, DRAWER 30, FOREST, MS 39074
(601) 469-3851
(601) 469-4356
Mailing address
P O DRAWER 30, FOREST, MS 39074
(601) 469-3851
(601) 469-4356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
08/11/2011
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