Individual
JOEL C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1541 E CLARK ST, POCATELLO, ID 83201-4100
(208) 232-6400
Mailing address
19 RED OAK LN, COVINGTON, LA 70433-5722
(985) 237-4588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7261
NV
1223G0001X
General Practice Dentistry
Primary
D-5582
ID
Other
Enumeration date
07/30/2019
Last updated
09/17/2024
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