Healthcare Provider Details

I. General information

NPI: 1720175524
Provider Name (Legal Business Name): JAMES FRANCIS SMITH DDS JD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4239 FARNAM STREET THE DOCTORS BUILDING SOUTH TOWER SUITE # 234
OMAHA NE
68131-2865
US

IV. Provider business mailing address

4239 FARNAM STREET THE DOCTORS BUILDING SOUTH TOWER SUITE # 234
OMAHA NE
68131
US

V. Phone/Fax

Practice location:
  • Phone: 402-551-5888
  • Fax: 402-552-3094
Mailing address:
  • Phone: 402-551-5888
  • Fax: 402-552-3094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number3717
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: