Individual
DR. JOHN P SMITH JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
91 W SECOND STREET, LOGAN, OH 43138
(740) 385-2094
(740) 385-9833
Mailing address
PO BOX 511, 91 W SECOND STREET, LOGAN, OH 43138
(740) 385-2094
(740) 385-9833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14160
OH
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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