Individual
DR. JEFFREY ROBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3914 9TH AVE W, BRADENTON, FL 34205-1704
(941) 747-5597
Mailing address
3914 9TH AVE W, BRADENTON, FL 34205-1704
(941) 747-5597
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN8653
FL
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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