Organization
JERRY W. SMITH DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY WAYNE SMITH DDS (OWNER)
(918) 492-1106
Entity
Organization
Contact information
Practice address
6565 S YALE AVE, STE 401, TULSA, OK 74136-8305
(918) 492-1106
(918) 492-1834
Mailing address
6565 S YALE AVE, STE 401, TULSA, OK 74136-8305
(918) 492-1106
(918) 492-1834
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3196
OK
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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