GRETA SMIDT

Dentist - Prosthodontics

Active Individual
NPI: 1124682497

Practice Address

413 5TH AVE NW
Jasper, FL 32052

Phone: (229) 269-5001

Specialties

Specialty Code Primary License
Dentist 122300000X No 7282 (LA)
Dentist - Prosthodontics 1223P0700X Yes 108257 (CA)
Student in an Organized Health Care Education/Training Program 390200000X No -

Frequently Asked Questions

NPI 1124682497 is the National Provider Identifier for GRETA SMIDT, a Dentist - Prosthodontics provider located in Jasper, FL. This NPI was enumerated on April 23, 2019.
GRETA SMIDT practices at 413 5TH AVE NW, Jasper, FL 32052.

Quick Facts

NPI
1124682497
Type
Individual
Enumerated
Apr 23, 2019
Last Updated
Jan 23, 2023

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