Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERROLD WAYNE SMITH, D.D.S.
ActiveDR. JERROLD WAYNE SMITH, D.D.S. is a General Dentistry healthcare provider located in CHICAGO, Illinois. NPI 1396892030 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · CHICAGO, IL
Registration Details
- NPI Number
- 1396892030
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2007 (19.608046591935 yrs)
- Last Updated
- Apr 12, 2016
- Licenses
-
12010685 (IN)019016584 (IL)
Practice Information
- Address
-
2000 W. 95TH. STREETCHICAGO, IL, 606431116Browse IL providers · Browse ZIP 60643
- Phone
- 7738813920
- Fax
- 7738814058
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL C GRIFFIN | D.M.D. | 1376546382 |
| DR. KATHERINE LAUTERBACH | D.D.S. | 1528061520 |
| DR. ALAN ARA BOGHOSIAN | DDS | 1285637272 |
| DR. KENNETH FRIED | DDS | 1457354441 |
| DR. VERONICA LYNN DIMARIO | DDS | 1891799508 |
| DR. MARK J. GRUNBERG | D.D.S. | 1962407239 |
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.