Individual
JEREMY JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4310 MEDICAL PARKWAY, SUITE 203, AUSTIN, TX 78756
(512) 459-3129
(512) 459-3431
Mailing address
4310 MEDICAL PARKWAY, SUITE 203, AUSTIN, TX 78756
(512) 459-3129
(512) 459-3431
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
14126
TX
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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