Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRETA R SMIDT
ActiveGRETA R SMIDT is a Pediatric Dentistry healthcare provider located in JASPER, Florida. NPI 1124682497 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · JASPER, FL
Registration Details
- NPI Number
- 1124682497
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2019 (7.3531423605463 yrs)
- Last Updated
- Jan 23, 2023
- Licenses
-
7282 (LA)DN24543 (FL)108257 (CA)
Practice Information
- Address
-
413 5TH AVE NWJASPER, FL, 320527801Browse FL providers · Browse ZIP 32052
- Phone
- 2292695001
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.