Individual provider · Type 1 NPI
Jamie Lynn Smith, DDS, M.S.
Pediatric Dentistry · Peoria Heights, IL
NPI number
1093926768
Active
Practice location
4207 N Prospect Rd
Peoria Heights, IL 61616-7754
Mailing address
11013 N Onyx Ln
Dunlap, IL 61525-9579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 021002311 (IL) |
| Dentist | 122300000X | 01927346 (IL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
About NPI 1093926768
Jamie Lynn Smith, DDS, M.S.'s National Provider Identifier is 1093926768, issued on May 24, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Peoria Heights, IL. The record was last updated on Aug 22, 2013.