Individual
JEFFREY SCOTT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
444 N RIDGE RD, WICHITA, KS 67212-6574
(316) 942-5358
(316) 942-7277
Mailing address
444 N RIDGE RD, WICHITA, KS 67212-6574
(316) 942-5358
(316) 942-7277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60476
KS
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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