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Jethroe Smith, DDS
NPI 1811907280 · on the registry since 2006
Practice
- Address
- 425 Joliet St
Suite 311
Dyer, IN 46311 - Phone
- (219) 865-6555
- Fax
- (219) 865-8842
- Organisation at this address
- Marvin L. Holloman
K & D Medical Services
North Star Services, Llc
M&L Medical Supplies Inc
Pathology Consultants IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana