Individual
DR. JESSE JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7515 STENTON AVE, PHILADELPHIA, PA 19150-3710
(215) 276-1222
(215) 276-1222
Mailing address
7515 STENTON AVE, PHILADELPHIA, PA 19150-3710
(215) 276-1222
(215) 276-1222
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS-21307-L
PA
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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