Jerry B. B. Smith Jr., D.M.D
General Practice Dentistry · Jasper, FL
Practice location
1133 4TH St NWJasper, FL 32052-5847
- Phone
- (386) 792-1197
- Fax
- (386) 792-1048
NPI record
- NPI
- 1659393916
- Entity type
- Individual (Type 1)
- Enumeration date
- July 24, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
8071 | FL |
About Dr. Smith
Jerry B. B. Smith Jr., D.M.D is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1133 4TH St NW, Jasper, FL 32052-5847. The NPI number 1659393916 was assigned on July 24, 2006 and the record was last updated on July 8, 2007.
Dr. Smith lists a license in the registry: #8071 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jerry B. B. Smith Jr., D.M.D?
The NPI number is 1659393916.
What is the phone number of Dr. Smith?
The phone number listed for the practice location is (386) 792-1197.
Where is Dr. Smith located?
1133 4TH St NW, Jasper, FL 32052-5847.
What is the taxonomy code for Dr. Smith?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
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.
Other General Practice Dentistry providers in Jasper
- Owen J. Boales, D.M.D.1133 4TH St NW