Individual
DR. JOHN ELLSWORTH SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
650 BROAD ST, EAST WEYMOUTH, MA 02189
(781) 337-2241
(781) 337-6941
Mailing address
650 BROAD ST, EAST WEYMOUTH, MA 02189
(781) 337-2241
(781) 337-6941
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10458
MA
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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