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Contact Information

JOHN B. SMITH, JR. DMD, PA
1040 HIGHWAY 35 SOUTH
DRAWER 30
FOREST, MS39074
 Phone: 601-469-3851
 Fax: 601-469-4356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JOHN B SMITH JR DMD PA · (Female)

NPI # 1215067293
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2007
Last updated 08/11/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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