Jethroe Joseph Smith in Dyer - General Practice
Jethroe Joseph Smith - NPI 1811907280
Jethroe Joseph Smith is a General Practice in Dyer, Indiana. Jethroe Joseph Smith practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jethroe Joseph Smith is 1811907280. The last update date is 2007-07-08.
Jethroe Joseph Smith's current location address is 425 Joliet St, Dyer, Indiana. You can contact this provider via phone number 2198656555 and fax number 2198658842. The mailing address for Jethroe Joseph Smith is 425 Joliet St, Dyer, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jethroe Joseph Smith |
|---|---|
| Address | 425 Joliet St, Dyer, Indiana |
| Phone Number | 2198656555 |
| Fax Number | 2198658842 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1811907280 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 425 Joliet St |
|---|---|
| City | Dyer |
| State | Indiana (IN) |
| Post Code | 46311 |
| Phone Number | 2198656555 |
| Fax Number | 2198658842 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12010325A |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Jethroe Joseph Smith by the Centers for Medicare & Medicaid Services?
The Jethroe Joseph Smith has been issued the NPI (National Provider Identifier) 1811907280 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jethroe Joseph Smith's facilities are geographically located?
The facilities of Jethroe Joseph Smith are physically situated at the following location: 425 Joliet St, Dyer, IN, 46311.
What is the Jethroe Joseph Smith's area of specialization and corresponding taxonomy classification?
The Jethroe Joseph Smith's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did the Jethroe Joseph Smith receive its 1811907280?
The Jethroe Joseph Smith was issued its 1811907280 on 2006-08-09, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Jethroe Joseph Smith, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jethroe Joseph Smith, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM