DR. JESSE JAMES SMITH D.D.S. - NPI 1356671929

Q: What is Jesse Smith's NPI number?

The NPI number for Jesse Smith is 1356671929. It was assigned to this individual provider in the NPPES registry on January 5, 2010.

Q: What is Jesse Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Smith was last updated on January 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jesse James Smith D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSE JAMES SMITH D.D.S. (NPI 1356671929) is an individual pediatric dentistry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS-21307-L) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1356671929

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. JESSE JAMES SMITHCredential: D.D.S.

Location Address7515 STENTON AVEPhiladelphia, PA 19150-3710

Mailing Address7515 Stenton AvePhiladelphia, PA 19150-3710 · (215) 276-1222 · Fax (215) 276-1222

Phone(215) 276-1222

Fax(215) 276-1222

Sole ProprietorNo

Enumeration DateJanuary 5, 2010

✔ NPI 1356671929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in PA · DS-21307-L

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

7515 STENTON AVE, Philadelphia, PA 19150

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