Individual
JILL R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
725 BURLINGTON ST, HOLDREGE, NE 68949-2166
(308) 995-5331
Mailing address
725 BURLINGTON ST, HOLDREGE, NE 68949-2166
(308) 995-5331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7391
NE
Other
Enumeration date
06/23/2017
Last updated
12/31/2021
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