Individual
DR. JASON KENT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
115 N BEECH ST, CORTEZ, CO 81321-3207
(970) 565-4449
(970) 565-4325
Mailing address
115 N BEECH ST, CORTEZ, CO 81321-3207
(970) 565-4449
(970) 565-4325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9221
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1456689
UNITED CONCORDIA
CO
Enumeration date
09/20/2006
Last updated
07/08/2007
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