Individual
DR. JEFFREY T SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
NAVY MEDICINE SUPPORT COMMAND, 2005 KNIGHT LANE BLDG H, JACKSONVILLE, FL 32212-0140
(904) 542-7200
Mailing address
988 E 1700 NORTH RD, TAYLORVILLE, IL 62568-7940
(217) 824-9248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028469
IL
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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