Organization
JEFFREY P. SMITH D.D.S. P.C.
Active
Other names
Parkside Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY P. SMITH D.D.S. (PRESIDENT)
(636) 723-5423
Entity
Organization
Contact information
Practice address
3101 DROSTE RD, SAINT CHARLES, MO 63301-1109
(636) 723-5423
(636) 946-3372
Mailing address
3101 DROSTE RD, SAINT CHARLES, MO 63301-1109
(636) 723-5423
(636) 946-3372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13930
MO
Other
Enumeration date
05/12/2007
Last updated
07/15/2007
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