Jethroe Joseph Smith, DDS

General Practice Dentistry · Dyer, IN

Individual Active NPI

NPI number 1811907280

Practice location

425 Joliet St
Suite 311
Dyer, IN 46311
Phone
(219) 865-6555
Fax
(219) 865-8842

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NPI record

NPI
1811907280
Entity type
Individual (Type 1)
Enumeration date
August 9, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12010325A IN

About Dr. Smith

Jethroe Joseph Smith, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 425 Joliet St, Suite 311, Dyer, IN 46311. The NPI number 1811907280 was assigned on August 9, 2006 and the record was last updated on July 8, 2007.

Dr. Smith lists a license in the registry: #12010325A (IN) 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 Jethroe Joseph Smith, DDS?

The NPI number is 1811907280.

What is the phone number of Dr. Smith?

The phone number listed for the practice location is (219) 865-6555.

Where is Dr. Smith located?

425 Joliet St, Suite 311, Dyer, IN 46311.

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.

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