Jackie L. Smith, D.D.S.

Dentist · Branson, MO

Individual Active NPI

NPI number 1609186576

Practice location

154 Welford Ln
Branson, MO 65616-3418
Phone
(417) 332-2980

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NPI record

NPI
1609186576
Entity type
Individual (Type 1)
Enumeration date
October 13, 2010
Last updated
October 13, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2007034336 MO
Dentist 122300000X 1991 AR
Dentist 122300000X 1935 TN

About Dr. Smith

Jackie L. Smith, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 154 Welford Ln, Branson, MO 65616-3418. The NPI number 1609186576 was assigned on October 13, 2010 and the record was last updated on October 13, 2010.

Dr. Smith lists 3 licenses in the registry: #2007034336 (MO) for Dentist; #1991 (AR) for Dentist; #1935 (TN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jackie L. Smith, D.D.S.?

The NPI number is 1609186576.

What is the phone number of Dr. Smith?

The phone number listed for the practice location is (417) 332-2980.

Where is Dr. Smith located?

154 Welford Ln, Branson, MO 65616-3418.

What is the taxonomy code for Dr. Smith?

The primary taxonomy code is 122300000X – Dentist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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