Individual
DR. JASON R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
663 MAIN ST, MUNFORDVILLE, KY 42765
(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
Enumeration date
07/13/2006
Last updated
07/08/2007
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