Individual
JORDAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
161 12TH AVE W STE C, GUIN, AL 35563-2257
(205) 468-3339
Mailing address
161 12TH AVE W STE C, GUIN, AL 35563-2257
(205) 468-3339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-0007037-C1
AL
Other
Enumeration date
06/11/2022
Last updated
05/22/2025
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