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Contact Information

JEFFREY SMITH, DDS
220 W RIDGEWAY
SUITE 201
WATERLOO, IA50701
 Phone: 319-232-9023
 Fax: 319-232-1610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JEFFREY SMITH · (Male)

NPI Number 1114033248
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 7717
  • IA Medicaid 0163089
  • Other 25629 BCBS
  • Other 506900 UCCI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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