| Jesse Smith Dds Llc | |
|
441 Marshall Dr Saint Robert MO 65584-5603 | |
| (573) 336-5599 | |
| Not Available |
| Full Name | Jesse Smith Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 441 Marshall Dr, Saint Robert, Missouri |
| Authorized Official Name and Position | Jesse Smith (OWNER) |
| Authorized Official Contact | 5733365599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Smith Dds Llc 441 Marshall Dr Saint Robert MO 65584-5603 Ph: (573) 336-5599 | Jesse Smith Dds Llc 441 Marshall Dr Saint Robert MO 65584-5603 Ph: (573) 336-5599 |
| NPI Number | 1841778123 |
|---|---|
| Provider Enumeration Date | 07/30/2018 |
| Last Update Date | 07/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841778123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2018017556 (Missouri) | Primary |
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