Smith, Jack Brian

Smith, Jack Brian is an sole proprietor health care provider with primary practice located at 160 Three Rivers Dr Ne Ste. 1600, Rome GA 30161-2303. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Smith, Jack Brian can be contacted via phone (706) 291-0095.

Contact Information

Primary practice address
160 Three Rivers Dr Ne Ste. 1600 Rome GA 30161-2303
Phone: (706) 291-0095
Fax: (706) 291-0036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DN012910 Georgia

Profile Details

NPI number 1356489462
LBN Legal business name Smith, Jack Brian
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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