John B. Smith, Jr. DMD, PA

Organization Active NPI General Practice Dentistry · Forest, MS

NPI 1215067293 · NPPES record last updated Aug 11, 2011

Key facts

NPI
1215067293
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
JOHN B. SMITH, JR. DMD, PA
Practice address
1040 Highway 35 South
Drawer 30
Forest, MS 39074
Phone
(601) 469-3851
Fax
(601) 469-4356
NPI assigned
Mar 7, 2007
Organization subpart
No

Authorized official

Name
Dr. John B Smith, DMD
Title
Owner
Phone
(601) 469-3851

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

1040 Highway 35 South
Drawer 30
Forest, MS 39074

Mailing address

P O Drawer 30
Forest, MS 39074
Phone (601) 469-3851

Other providers in Forest, MS

All providers in Forest, MS · General Practice Dentistry in Mississippi

Sources for this page

Verify at the official NPI Registry.