John B Smith, DMD Valid NPI
Individual provider · General Practice Dentistry · Forest, MS
- NPI
- 1306996970
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 1853 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-01-12
- Last updated
- 2007-07-09
Practice location
1040 Hwy 35 South
Forest, MS 39074
(601) 469-3851