Organization
ANDREW J. SMITH DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JACOB SMITH DMD (OWNER)
(541) 884-1331
Entity
Organization
Contact information
Practice address
2200 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601
(541) 884-1331
(541) 880-2996
Mailing address
2200 BRYANT WILLIAMS DR., KLAMATH FALLS, OR 97601
(541) 884-1331
(541) 880-2996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
D9136
OR
Other
Enumeration date
02/10/2016
Last updated
12/03/2021
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