Dr. Jerrold Wayne Smith is a Chicago, Illinois based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jerrold Wayne Smith is 019016584 for General Practice Dentistry in Illinois. His current practice location is 2000 W. 95th. Street, Chicago. Patients can reach him at 773-881-3920.
Dr. Jerrold Wayne Smith is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jerrold Wayne Smith speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Jerrold Wayne Smith
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
2000 W. 95th. Street, Chicago, Illinois, 60643-1116
Phone:
773-881-3920
Fax:
773-881-4058
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1396892030
NPI Enumeration Date:
04 Jan, 2007
NPI Last Update On:
12 Apr, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jerrold Wayne Smith are as mentioned below.
License Number
Specialization
State
Status
019016584
General Practice Dentistry
Illinois
Primary
12010685
General Practice Dentistry
Indiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jerrold Wayne Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
019016584
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2000 W. 95th. Street, Chicago, Illinois
Zip:
60643-1116
Phone Number:
773-881-3910
Fax Number:
773-881-4058
Patients can reach Dr. Jerrold Wayne Smith at 2000 W. 95th. Street, Chicago, Illinois or can call to book an appointment on 773-881-3920. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.