DR. JESSE WAYLON SMITH D.D.S NPI 1700851581

NPI Information

NPI: 1700851581
Provider Name: DR. JESSE WAYLON SMITH, D.D.S
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
1801 W WISCONSIN AVE
#206
MILWAUKEE, WI
ZIP 53233
Phone: (414) 288-6508
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DR. Jesse Waylon Smith, D.D.S is a prosthodontics dentist in Milwaukee, WI. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Jesse Waylon Smith, D.D.S NPI is 1700851581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1801 W WISCONSIN AVE
#206
MILWAUKEE, WI
ZIP 53233-186
Phone: (414) 288-6508

The enumeration date for this NPI number is 2/23/2006 and was last updated on 7/8/2007.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0700X	Dentist	Prosthodontics	5684-015	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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