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NPI Code Detail

MEDICARE: DR. JAMES FRANCIS SMITH DDS JD

MEDICARE:  DR. JAMES FRANCIS SMITH  DDS JD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0700XProsthodontics3717NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13717OTHERNENE BOARD OF DENTAL EXAMIN

General Provider Information

NPI Number : 1720175524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES FRANCIS SMITH DDS JD
Provider Business Mailing Address
First Line : 4239 FARNAM STREET
Second Line : THE DOCTORS BUILDING SOUTH TOWER SUITE # 234
City : OMAHA
State : NE
Zip : 68131
Country : US
Telephone Number : 402-551-5888
Fax Number : 402-552-3094
Provider Business Practice Location Address
First Line : 4239 FARNAM STREET
Second Line : THE DOCTORS BUILDING SOUTH TOWER SUITE # 234
City : OMAHA
State : NE
Zip : 68131-2865
Country : US
Telephone Number : 402-551-5888
Fax Number : 402-552-3094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JAMES FRANCIS SMITH DDS JD” Practice Location

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