Individual
DR. JONATHAN S SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
720 S LEEDS AVE, MOBILE, AL 36612-1946
(251) 786-2011
Mailing address
720 S LEEDS AVE, MOBILE, AL 36612-1946
(251) 786-2011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5989 C1
AL
1223P0221X
Pediatric Dentistry
Primary
29083
TX
Other
Enumeration date
06/12/2013
Last updated
08/12/2013
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