Jackie L Smith, DDS in Branson, MO - Dentist

Jackie L Smith, DDS is a Dentist based in Branson, Missouri. Jackie L Smith is licensed to practice in Missouri (license number 2007034336) and his current practice location is 154 Welford Ln, Branson, Missouri. He can be reached at his office (for appointments etc.) via phone at (417) 332-2980.

NPI number for Jackie L Smith is 1609186576 and his current mailing address is 154 Welford Ln, Branson, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609186576.

Contact Information

	Jackie L Smith, DDS
	154 Welford Ln, Branson, MO 65616-3418
	(417) 332-2980
	Not Available

Healthcare Provider's Profile

Full Name	Jackie L Smith
Gender	Male
Speciality	Dentist
Location	154 Welford Ln, Branson, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1609186576
Provider Enumeration Date: 10/13/2010
Last Update Date: 10/13/2010

Medical Identifiers

Medical identifiers for Jackie L Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609186576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2007034336 (Missouri)	Primary
122300000X	Dentist	1991 (Arkansas)	Secondary
122300000X	Dentist	1935 (Tennessee)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie L Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jackie L Smith, DDS 154 Welford Ln, Branson, MO 65616-3418 Ph: (417) 332-2980	Jackie L Smith, DDS 154 Welford Ln, Branson, MO 65616-3418 Ph: (417) 332-2980

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Jackie L Smith, DDS - Dentist in Branson, MO