Individual
DR. JEFFREY STEPHEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3100 FIVE FORKS TRICKUM RD SW, BLDG 5, SUITE 501, LILBURN, GA 30047-1890
(770) 736-8085
Mailing address
4490 LUCERNE LN SW, LILBURN, GA 30047-4577
(678) 344-1086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009887
GA
Other
Enumeration date
06/03/2007
Last updated
07/08/2007
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