| Jared M. Smith, D.m.d., P.c. | |
|
618 Main St Canon City CO 81212-3737 | |
| (719) 275-0661 | |
| Not Available |
| Full Name | Jared M. Smith, D.m.d., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 618 Main St, Canon City, Colorado |
| Authorized Official Name and Position | Jared M Smith (DENTIST/OWNER) |
| Authorized Official Contact | 7192750661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jared M. Smith, D.m.d., P.c. 278 Eagle Dr E Canon City CO 81212-9649 Ph: (719) 269-8917 | Jared M. Smith, D.m.d., P.c. 618 Main St Canon City CO 81212-3737 Ph: (719) 275-0661 |
| NPI Number | 1508042482 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 01/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508042482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8457 (Colorado) | Primary |
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