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Dr. Jennison Jacob Draper Smith, DMD
Student in an Organized Health Care Education/Training Program in New Hyde Park, New York
NPI 1760188213

Jennison Jacob Draper Smith is a Student in an Organized Health Care Education/Training Program based in New Hyde Park, NY. Jennison Jacob Draper Smith practices in New Hyde Park, NY and has the professional credentials of DMD. The NPI Number for Jennison Jacob Draper Smith is 1760188213 and holds a License No. (New York).

The current practice location address for Jennison Jacob Draper Smith is 27005 76Th Ave, New Hyde Park, NY and can be reached out via phone at 718-470-7110.

Location: 27005 76Th Ave, New Hyde Park, NY, 11040-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760188213
Provider Name
Jennison Jacob Draper Smith
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
27005 76Th Ave, New Hyde Park, NY, 11040-1402
Phone Number
718-470-7110
Fax Number
Provider Enumeration Date
02/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27005 76Th Ave
City
New Hyde Park
State
New York
Zip
11040-1402
Phone Number
718-470-7110
Fax Number
person
Provider Business Mailing Address Details
Address
27005 76Th Ave
City
New Hyde Park
State
New York
Zip
11040-1402
Phone Number
718-470-7110
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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