MEDICARE: DR. JACLYN ALEXANDRA SMRECEK DDS

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
1	122300000X	Dentist	102794	CA

General Provider Information

NPI Number	:	1801372586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACLYN ALEXANDRA SMRECEK DDS

Provider Business Mailing Address
First Line	:	1401 AVOCADO AVE STE 806
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-8706
Country	:	US
Telephone Number	:	714-308-5687
Fax Number	:	949-759-8609

Provider Business Practice Location Address
First Line	:	1401 AVOCADO AVE STE 806
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-8706
Country	:	US
Telephone Number	:	714-308-5687
Fax Number	:	949-759-8609

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2018
Last Update Date	:	07/16/2018

Similar Medicare Providers

1669330288 — MANIFEST WELLNESS COUNSELING
Practice Location Address:

1905 ARLINGTON ARCH DR
VIRGINIA BEACH, VA
23464-8706

Practice Phone: 757-276-1619
Practice Fax: 757-794-4812

1255100020 — MYUNG KEE PARK DDS INC
Practice Location Address:

14435 MORENO BEACH DR STE 108
MORENO VALLEY, CA
92555-8706

Practice Phone: 951-247-6000
Practice Fax:

1578530671 — DR. MARK EDWARD WINTERSTEEN D.P.M.
Practice Location Address:

36 RED HILL CT
NEWPORT, PA
17074-8706

Practice Phone: 717-567-9100
Practice Fax: 717-567-7121

1619936044 — KATHLEEN JENNIFER KNOUSE MD
Practice Location Address:

46 RED HILL CT
NEWPORT, PA
17074-8706

Practice Phone: 717-567-3151
Practice Fax: 717-567-7571

1417917493 — MICHELLE LIANE BRENIZER MD
Practice Location Address:

46 RED HILL CT
NEWPORT, PA
17074-8706

Practice Phone: 717-567-3151
Practice Fax: 717-567-7571

1871553842 — ALBERT J KNOUSE JR. MD
Practice Location Address:

46 RED HILL CT
NEWPORT, PA
17074-8706

Practice Phone: 717-567-3151
Practice Fax: 717-567-7571

Directions to “ DR. JACLYN ALEXANDRA SMRECEK DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.