Individual
DR. JARED RUSSELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1009 PARKWOODS DR, NOBLE, OK 73068
(405) 872-9597
Mailing address
1009 PARKWOODS DR, NOBLE, OK 73068-9391
(405) 872-9597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5962
OK
Other
Enumeration date
06/12/2007
Last updated
07/26/2018
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