Individual
DR. JERRY WAYNE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6565 S YALE AVE, TULSA, OK 74136-8305
(918) 492-1106
(918) 492-1834
Mailing address
6565 S YALE AVE, TULSA, OK 74136-8305
(918) 492-1106
(918) 492-1834
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
23196
OK
Other
Enumeration date
07/05/2005
Last updated
07/08/2007
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