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Organization

JASON R. SMITH, DMD, FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON RAY SMITH D.M.D (DENTIST/OWNER)
(270) 524-5422
Entity
Organization

Contact information

Practice address
663 MAIN ST, MUNFORDVILLE, KY 42765-9436
(270) 524-5422
(270) 524-5847
Mailing address
PO BOX 68, MUNFORDVILLE, KY 42765-0068
(270) 524-5422
(270) 524-5847

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8090
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60003977
KY
Enumeration date
10/18/2011
Last updated
10/18/2011
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