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Organization

JEREMY D. SMITH, DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE TACKEL (TREATMENT COORDINATOR)
(479) 636-2990
Entity
Organization

Contact information

Practice address
604 S 52ND ST, ROGERS, AR 72758-8601
(479) 636-2990
(479) 636-2999
Mailing address
604 S 52ND ST, ROGERS, AR 72758-8601
(479) 636-2990
(479) 636-2999

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3384
AR

Other

Enumeration date
12/11/2008
Last updated
12/11/2008
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