Individual
DR. JACQUELINE BROWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
621 LYNNHAVEN PKWY STE 255, VIRGINIA BEACH, VA 23452-7383
(757) 738-2981
(757) 424-2226
Mailing address
512 LEARY CT, CHESAPEAKE, VA 23323-6687
(757) 558-2274
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411605
VA
1223G0001X
General Practice Dentistry
7330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899018V
—
NC
Enumeration date
11/28/2006
Last updated
08/17/2021
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