Individual
DENNIS JASON SMOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2431 W MAIN ST STE 1001, DOTHAN, AL 36301-6404
(334) 794-2825
(344) 793-5050
Mailing address
2431 W MAIN ST STE 1001, DOTHAN, AL 36301-6404
(334) 794-2825
(334) 793-5050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA434
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-31346
BCBS-1900 FAIRVIEW
AL
01
—
515-31347
BCBS-1108 ROSS CLARK
AL
01
—
515-31348
BCBS-4370 W MAIN ST
AL
01
—
515-31349
BCBS-400 N EDWARDS
AL
Enumeration date
11/28/2005
Last updated
07/08/2007
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