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Contact Information

JONATHAN D SMART, DMD
2342 NW PROFESSIONAL DR.
CORVALLIS, OR97330
 Phone: 541-757-7708
 Fax: 541-738-7192
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JONATHAN D SMART · (Male)

NPI # 1225040116
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/12/2006
Last updated 09/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OR License # D8256
  • UT License # 5765733-9922
  • UT Other 57657339900001 BC/BS
  • UT Other 5765733 CIGNA
  • UT Other 77777 DELTA
  • UT Other 885140 DMBA
  • UT Other 84083 PEHP
  • UT Other 1702399 UNITED CONCORDIA
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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