| Jennifer Nicole Smith, DDS | |
|
1107 E Marshall Ave, Longview, TX 75601-5602 | |
| (903) 758-2610 | |
| (903) 758-7081 |
| Full Name | Jennifer Nicole Smith |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 1107 E Marshall Ave, Longview, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396151817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30186 (Texas) | Primary |
| 122300000X | Dentist | 30186 (Texas) | Secondary |
| Entity Name | Longview Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Nicole Smith, DDS 1107 E Marshall Ave, Longview, TX 75601-5602 Ph: (903) 758-2610 | Jennifer Nicole Smith, DDS 1107 E Marshall Ave, Longview, TX 75601-5602 Ph: (903) 758-2610 |
Dr. Justin Ray Horne, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5 Doctor Cir, Longview, TX 75605 Phone: 903-758-6406 Fax: 903-758-8116 | |
Dr. Chris L Kirby, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 3121 H G Moseley Pkwy, Longview, TX 75605 Phone: 903-663-0861 Fax: 903-663-9148 | |
Dr. Patrick Briscoe, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3006 H G Mosley Pkwy, Longview, TX 75605 Phone: 903-753-2151 Fax: 903-753-0884 | |
Jay T Gordon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3004 H G Mosley Pkwy, Longview, TX 75605 Phone: 903-758-3444 Fax: 903-758-1967 | |
James Andrew Mack, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 3004 Hg Mosley Pkwy, Longview, TX 75605 Phone: 903-758-3444 Fax: 903-758-1967 | |
Candace Yong, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 444 Forest Sq Ste E, Longview, TX 75605 Phone: 903-758-5551 Fax: 903-758-5877 | |
Dr. Philip John Thomas, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5 Doctor Cir, Longview, TX 75605 Phone: 903-758-6406 Fax: 903-758-8116 |