Individual
DR. JONATHAN BRADFORD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1120 SPARKLEBERRY LANE EXT, SUITE B, COLUMBIA, SC 29223-7078
(803) 462-3662
(803) 462-6865
Mailing address
1120 SPARKLEBERRY LANE EXT, SUITE B, COLUMBIA, SC 29223-7078
(803) 462-3662
(803) 462-6865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3780
SC
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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