| Jared M. Smith Dmd, Pc | |
|
618 Main St Canon City CO 81212-3737 | |
| (719) 275-0661 | |
| Not Available |
| Full Name | Jared M. Smith Dmd, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 618 Main St, Canon City, Colorado |
| Authorized Official Name and Position | Jared M Smith (OWNER) |
| Authorized Official Contact | 7192750661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jared M. Smith Dmd, Pc 618 Main St Canon City CO 81212-3737 Ph: (719) 275-0661 | Jared M. Smith Dmd, Pc 618 Main St Canon City CO 81212-3737 Ph: (719) 275-0661 |
| NPI Number | 1548638711 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 03/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548638711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8457 (Colorado) | Primary |
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