Individual
DR. JACK SHEA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3500 N DUKE ST, DURHAM, NC 27704-1707
(984) 439-1685
Mailing address
241 ALLAGOSH DR, MORRISVILLE, NC 27560-8241
(256) 856-6239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12860
NC
Other
Enumeration date
07/03/2022
Last updated
07/03/2022
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