| Jerry W. Smith Dds Inc | |
|
6565 S Yale Ave Ste 401 Tulsa OK 74136-8305 | |
| (918) 492-1106 | |
| (918) 492-1834 |
| Full Name | Jerry W. Smith Dds Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6565 S Yale Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Jerry Wayne Smith (OWNER) |
| Authorized Official Contact | 9184921106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry W. Smith Dds Inc 6565 S Yale Ave Ste 401 Tulsa OK 74136-8305 Ph: (918) 492-1106 | Jerry W. Smith Dds Inc 6565 S Yale Ave Ste 401 Tulsa OK 74136-8305 Ph: (918) 492-1106 |
| NPI Number | 1851485494 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851485494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3196 (Oklahoma) | Primary |
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