Organization
JESSE SMITH DDS LLC
Active
Other names
Saint Robert Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE SMITH DDS (OWNER)
(573) 336-5599
Entity
Organization
Contact information
Practice address
441 MARSHALL DR, SAINT ROBERT, MO 65584-5603
(573) 336-5599
Mailing address
441 MARSHALL DR, SAINT ROBERT, MO 65584-5603
(573) 336-5599
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2018017556
MO
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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