| Smith & Jackson Family Dental | |
|
911 Country Club Rd Ste 222 Eugene OR 97401-6046 | |
| (801) 885-7639 | |
| Not Available |
| Full Name | Smith & Jackson Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 911 Country Club Rd Ste 222, Eugene, Oregon |
| Authorized Official Name and Position | Stevenson Smith (OWNER) |
| Authorized Official Contact | 8018857639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith & Jackson Family Dental 34313 Deerwood Dr Eugene OR 97405-9662 Ph: (801) 885-7639 | Smith & Jackson Family Dental 911 Country Club Rd Ste 222 Eugene OR 97401-6046 Ph: (801) 885-7639 |
| NPI Number | 1174194617 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 07/06/2021 |
| Certification Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174194617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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