Smith, Jamie Lynn

Smith, Jamie Lynn is an individual health care provider with primary practice located at 4207 N Prospect Rd , Peoria Heights IL 61616-7754. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is her primary health care specialty. Smith, Jamie Lynn can be contacted via phone (309) 685-4444.

Contact Information

Primary practice address
4207 N Prospect Rd Peoria Heights IL 61616-7754
Phone: (309) 685-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 021002311 Illinois
Dental Providers / Dentist 122300000X 01927346 Illinois

Profile Details

NPI number 1093926768
LBN Legal business name Smith, Jamie Lynn
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Aug 22nd, 2013 - about 13 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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