| Jacob Roger Smith Dds Llc | |
|
416 N 2nd St Amite LA 70422 | |
| (985) 748-4652 | |
| (985) 748-7957 |
| Full Name | Jacob Roger Smith Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 416 N 2nd St, Amite, Louisiana |
| Authorized Official Name and Position | Jacob Roger Smith (OWNER) |
| Authorized Official Contact | 9857484652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Roger Smith Dds Llc 416 N 2nd St Amite LA 70422-2420 Ph: (985) 748-4652 | Jacob Roger Smith Dds Llc 416 N 2nd St Amite LA 70422 Ph: (985) 748-4652 |
| NPI Number | 1942926845 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942926845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Kay C. Moser, Dds, Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 N. Second St., Amite, LA 70422 Phone: 985-748-4652 Fax: 985-748-7957 |