IndividualActive
Greta Smidt
NPI 1124682497 · Prosthodontics · Jasper, FL
Provider details
- NPI number
- 1124682497
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 7282 (LA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Student, Health Care
Practice location
413 5th Ave Nw
Jasper, FL 32052-7801
Phone: (229) 269-5001
Approximate (ZIP-level) locationGet directions
Mailing address
11936 Darlington Ave Apt 104
Los Angeles, CA 90049-5651
Registry dates
- Enumerated
- 2019-04-23
- Last updated
- 2023-01-23
- Certified
- 2023-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.