Individual
JONATHAN NOEL SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4119 HUMBERT RD, ALTON, IL 62002-7116
(618) 465-8100
(618) 462-3530
Mailing address
4119 HUMBERT RD, ALTON, IL 62002-7116
(618) 465-8100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.029542
IL
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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