Individual provider · Type 1 NPI
Greta R. Smidt
Prosthodontics · Jasper, FL
NPI number
1124682497
Active
Practice location
413 5th Ave NW
Jasper, FL 32052-7801
Mailing address
11936 Darlington Ave Apt 104
Los Angeles, CA 90049-5651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 7282 (LA) |
| Prosthodontics | 1223P0700X | DN24543 (FL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Prosthodontics Primary | 1223P0700X | 108257 (CA) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
4 other providers at this address
- B A R Medical CorporationGeriatric Medicine (Internal Medicine) Physician Jasper, FL NPI 1063704096
- Irvin C. Bembry, M.d.p.a.Family Medicine Physician Jasper, FL NPI 1306174396
- Renaldas Algirdas SmidtasInternal Medicine Physician Jasper, FL NPI 1104097963
- Irvin Carlyle Bembry, MDFamily Medicine Physician Jasper, FL NPI 1649276247
About NPI 1124682497
Greta R. Smidt's National Provider Identifier is 1124682497, issued on Apr 23, 2019. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Jasper, FL. The record was last updated on Jan 23, 2023.