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DR. JESSANNA ELIZABETH SMITH DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1972764926

Individual Registrant:
DR. JESSANNA ELIZABETH SMITH DMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
602 1ST AVE UNIT B  TYBEE ISLAND, GA 31328-8841 US
Tel: 912-786-9433  Fax: --

Contact information for business:
602 FIRST STREET UNIT B  TYBEE ISLAND, GA 31328 US
Tel: 912-786-9433  Fax: --

Registration Information:
NPI: 1972764926
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223G0001XDental Providers
Dentist
General Practice
SC4493
Y1223G0001XDental Providers
Dentist
GADN013791

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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