Dr. Jamie Lynn Smith
Dentist Pediatric Dentist
4207 N Prospect Rd
Peoria Heights
, Illinois 61616-7754
Dr. Jamie Lynn Smith
Dentist Pediatric Dentist
4207 N Prospect Rd
Peoria Heights
, Illinois 61616-7754
(309) 243-8359
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About
Features
Specialties
- Dentist
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Jamie Lynn Smith
- 11013 N Onyx Ln
- Dunlap, IL
- Zip : 61525-9579
- Phone : (309) 243-8359
Second Address
- Dr. Jamie Lynn Smith
- 4207 N Prospect Rd
- Peoria Heights, IL
- Zip : 61616-7754
- Phone : (309) 685-4444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 01927346 | IL |
| Y | 1223P0221X | Pediatric Dentist | 021002311 | IL |
National Provider Identifier
| NPI | 1093926768 |
|---|---|
| Provider Name | Dr. Jamie Lynn Smith |
| First Address | Dunlap, IL 61525-9579 |
| Second Address | Peoria Heights, IL 61616-7754 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2007 |
| Last Update Date | 22/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.