NPI 1518018134

Jewel Bernadette Smith, DDS

Practitioner General Practice Dentistry Locust Grove, GA

Practice location

Address: 2880 Old Jackson Rd, Locust Grove, GA 30248-2756
Phone: (678) 205-7185

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN012208 (GA)

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Registry record

NPI: 1518018134
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2007
Record last updated: 21 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.