Dr Jessanna Elizabeth Smith, DMD is a
Dentist - General Practice based in Tybee Island, Georgia. Dr Jessanna Elizabeth Smith is licensed to practice in Georgia (license number DN013791) and her current practice location is
602 1st Ave Unit B, Tybee Island, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 786-9433.
NPI number for Dr Jessanna Elizabeth Smith is 1972764926 and her current mailing address is 602 First Street Unit B, Tybee Island, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972764926.
Healthcare Provider's Profile
| Full Name | Dr Jessanna Elizabeth Smith |
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| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 602 1st Ave Unit B, Tybee Island, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972764926
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 05/14/2010
Medical Identifiers
Medical identifiers for Dr Jessanna Elizabeth Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972764926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 4493 (South Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | DN013791 (Georgia) | 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 Jessanna Elizabeth Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jessanna Elizabeth Smith, DMD
602 First Street Unit B,
Tybee Island, GA 31328
Ph: (912) 786-9433 | Dr Jessanna Elizabeth Smith, DMD
602 1st Ave Unit B,
Tybee Island, GA 31328-8841
Ph: (912) 786-9433 |
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