JERRY W. SMITH DDS INC NPI 1851485494

NPI Information

JERRY W. SMITH DDS INC is a pediatric dentistry dentist in Tulsa, OK. The provider is 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. JERRY W. SMITH DDS INC NPI is 1851485494. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6565 S YALE AVE
STE 401
TULSA, OK
ZIP 74136-305
Phone: (918) 492-1106
Fax: (918) 492-1834

The provider's authorized official is Jerry Wayne Smith .
The authorized official title is Owner and has the following contact phone number (918) 492-1106.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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