Individual
JAYSON C. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
350 BLOUNTVILLE HWY, SUITE 202, BRISTOL, TN 37620-0213
(423) 968-9661
(423) 968-1593
Mailing address
350 BLOUNTVILLE HWY, SUITE 202, BRISTOL, TN 37620-0213
(423) 968-9661
(423) 968-1593
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0401412075
VA
1223P0221X
Pediatric Dentistry
Primary
DS8813
TN
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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