Individual
DR. JORDAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7901 MALL RD, FLORENCE, KY 41042-1496
(859) 647-7600
Mailing address
7901 MALL RD, FLORENCE, KY 41042-1496
(859) 647-7600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9485
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
KY
Enumeration date
06/30/2014
Last updated
06/30/2014
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