| Jacqueline Smith Dds Pc | |
|
306 Sw Walnut St Ankeny IA 50023-3042 | |
| (515) 964-0621 | |
| Not Available |
| Full Name | Jacqueline Smith Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 306 Sw Walnut St, Ankeny, Iowa |
| Authorized Official Name and Position | Jacqueline Renee Smith (OWNER) |
| Authorized Official Contact | 5153131402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Smith Dds Pc 306 Sw Walnut St Ankeny IA 50023-3042 Ph: (515) 964-0621 | Jacqueline Smith Dds Pc 306 Sw Walnut St Ankeny IA 50023-3042 Ph: (515) 964-0621 |
| NPI Number | 1760192157 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760192157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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