Jonathan Gregory Smith in Woodruff - Periodontics
Jonathan Gregory Smith - NPI 1114127172
Jonathan Gregory Smith is a Periodontics in Woodruff, South Carolina. Jonathan Gregory Smith practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jonathan Gregory Smith is 1114127172. The last update date is 2009-05-26.
Jonathan Gregory Smith's current location address is 601 E Georgia St, Woodruff, South Carolina. You can contact this provider via phone number 8644768315 and fax number 8644768290. The mailing address for Jonathan Gregory Smith is 601 E Georgia St, Woodruff, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Gregory Smith |
|---|---|
| Address | 601 E Georgia St, Woodruff, South Carolina |
| Phone Number | 8644768315 |
| Fax Number | 8644768290 |
| Sole Proprietor | Y |
| Credentials | DMD, MHS |
NPI Number Detail
| NPI Number | 1114127172 |
|---|---|
| Provider Enumeration Date | 2007-07-18 |
| Last Updated Date | 2009-05-26 |
Provider Mailing Address Detail
| Address | 601 E Georgia St |
|---|---|
| City | Woodruff |
| State | South Carolina (SC) |
| Post Code | 293881953 |
| Phone Number | 8644768315 |
| Fax Number | 8644768290 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 3534 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the Jonathan Gregory Smith's unique identification number?
The Jonathan Gregory Smith has been assigned the NPI (National Provider Identifier) Number 1114127172 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jonathan Gregory Smith's facilities are situated?
The facilities of Jonathan Gregory Smith are physically located at the following address: 601 E Georgia St, Woodruff, SC, 293881953.
What is Jonathan Gregory Smith's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jonathan Gregory Smith is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did the Jonathan Gregory Smith receive its 1114127172 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan Gregory Smith was assigned its 1114127172 by the Centers for Medicare & Medicaid Services on 2007-07-18.
When was the information related to Jonathan Gregory Smith most recently updated or refreshed?
The details pertaining to the Jonathan Gregory Smith, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-05-26.