Organization
JARED SMITH, PROFESSIONAL LLC
Active
Other names
Bailey Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED SPENCER SMITH DMD (OWNER DENTIST)
(801) 979-9342
Entity
Organization
Contact information
Practice address
17 COUNTY ROAD 68, BAILEY, CO 80421
(303) 838-2224
Mailing address
16241 BLUEBONNET DR, PARKER, CO 80134-3540
(801) 979-9342
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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