Individual
DR. JESSANNA ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
602 1ST AVE UNIT B, TYBEE ISLAND, GA 31328-8841
(912) 786-9433
Mailing address
602 FIRST STREET UNIT B, TYBEE ISLAND, GA 31328
(912) 786-9433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4493
SC
1223G0001X
General Practice Dentistry
Primary
DN013791
GA
Other
Enumeration date
06/23/2008
Last updated
05/14/2010
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