Crystal Jo Smith, DDS

General Practice Dentistry · Ft Gordon, GA

Individual Active NPI

NPI number 1831175769

Practice location

Bldg 38801 Academic Dr
Suite B & C
Ft Gordon, GA 30905-5660
Phone
(706) 787-6927

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NPI record

NPI
1831175769
Entity type
Individual (Type 1)
Enumeration date
December 22, 2005
Last updated
August 12, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2675 NM

Mailing address

805 Woodberry Dr
Evans, GA 30809-4456
Phone
(816) 506-8432

About Dr. Smith

Crystal Jo Smith, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is Bldg 38801 Academic Dr, Suite B & C, Ft Gordon, GA 30905-5660. The NPI number 1831175769 was assigned on December 22, 2005 and the record was last updated on August 12, 2019.

Dr. Smith lists a license in the registry: #2675 (NM) 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 Crystal Jo Smith, DDS?

The NPI number is 1831175769.

What is the phone number of Dr. Smith?

The phone number listed for the practice location is (706) 787-6927.

Where is Dr. Smith located?

Bldg 38801 Academic Dr, Suite B & C, Ft Gordon, GA 30905-5660.

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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