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Dr. Jerrold Wayne Smith, DDS
General Practice Dentistry in Chicago, Illinois
NPI 1396892030

Jerrold Wayne Smith is a General Practice Dentistry based in Chicago, IL and is specialized in General Practice. Jerrold Wayne Smith practices in Chicago, IL and has the professional credentials of DDS. The NPI Number for Jerrold Wayne Smith is 1396892030 and holds a License No. 12010685 (Illinois).

The current practice location address for Jerrold Wayne Smith is 2000 W. 95Th. Street, Chicago, IL and can be reached out via phone at 773-881-3920 and via fax at 773-881-4058.

Location: 2000 W. 95Th. Street, Chicago, IL, 60643-1116
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Provider Profile Details
NPI Number
1396892030
Provider Name
Jerrold Wayne Smith
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2000 W. 95Th. Street, Chicago, IL, 60643-1116
Phone Number
773-881-3920
Fax Number
773-881-4058
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019016584 05 IL
institution
Provider Business Practice Location Address Details
Address
2000 W. 95Th. Street
City
State
Zip
60643-1116
Phone Number
773-881-3920
Fax Number
773-881-4058
person
Provider Business Mailing Address Details
Address
2000 W. 95Th. Street
City
State
Zip
60643-1116
Phone Number
773-881-3920
Fax Number
773-881-4058
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
12010685 (Indiana)
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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