Jonathan Smith, DENTALASSISTANTX

Practice location

Address

10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005

Phone

(315) 772-6234

Registered specialties

Registry record

NPI

1669821351

Entity type

Individual

Sex (as registered)

Male

NPI issued

3 Jun 2016

Record last updated

3 Jun 2016

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.