Dr Jeffrey Alan Smith, DDS in Rogers, MN - Medicare Dentist Provider

Dr Jeffrey Alan Smith, DDS is a medicare enrolled "Dentist" provider in Rogers, Minnesota. His current practice location is 21410 136th Ave North Suite #109, Rogers, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 428-2217.

Dr Jeffrey Alan Smith is licensed to practice in Minnesota (license number D11340) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710058128.

Contact Information

	Dr Jeffrey Alan Smith, DDS
	21410 136th Ave North Suite #109, Rogers, MN 55374
	(763) 428-2217
	(763) 428-8586

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeffrey Alan Smith
Gender	Male
Speciality	Dentist
Location	21410 136th Ave North Suite #109, Rogers, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710058128
Provider Enumeration Date: 11/10/2006
Last Update Date: 07/02/2019

Medicare PECOS Information:

PECOS PAC ID: 3577874395
Enrollment ID: I20170410001874

Medical Identifiers

Medical identifiers for Dr Jeffrey Alan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710058128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D11340 (Minnesota)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeffrey Alan Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jeffrey Alan Smith, DDS 21410 136th Ave North Suite #109, Rogers, MN 55374 Ph: (763) 428-2217	Dr Jeffrey Alan Smith, DDS 21410 136th Ave North Suite #109, Rogers, MN 55374 Ph: (763) 428-2217

Reviews and Comments

Dentist in Rogers, MN

Dr. Matthew Patrick Dale, DDS Dentist Medicare: Medicare Enrolled Practice Location: 21410 136th Ave North Suite #109, Rogers, MN 55374 Phone: 763-428-2217 Fax: 763-428-8586
Dr. Jill Heather Pucel-koopman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14115 James Rd, Suite 303, Rogers, MN 55374 Phone: 763-428-2226 Fax: 763-428-3407
Dr. Christopher Louis Zacharias, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14115 James Rd, Rogers, MN 55374 Phone: 763-428-2226
Dr. Lee Steven Prohofsky, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14000 Northdale Blvd Ste J, Rogers, MN 55374 Phone: 763-428-2300 Fax: 763-428-4031
Mohamed Kandeel, Dentist Medicare: Not Enrolled in Medicare Practice Location: 14000 Northdale Bldv., Suite J, Rogers, MN 55374 Phone: 763-428-2300
Dr. Gregory Wayne Nelson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 21410 136th Ave North Suite #109, Rogers, MN 55374 Phone: 763-428-2217 Fax: 763-428-8586
Sarah Marie Soltys Larson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14020 Northdale Blvd, Suite A, Rogers, MN 55374 Phone: 612-802-4673

Dr Jeffrey Alan Smith, DDS - Medicare Dentist in Rogers, MN