DR. JAMIE LYNN SMITH (NPI# 1093926768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093926768 |
| Entity Type | Individual |
| Full Name | DR. JAMIE LYNN SMITH |
| Credential | D.D.S., M.S. |
| Practice Address |
4207 N Prospect Rd Peoria Heights IL 61616-7754 |
| Mailing Address |
11013 N Onyx Ln Dunlap IL 61525-9579 |
| Practice Telephone | 3096854444 |
| Mailing Telephone | 3092438359 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 01927346 | IL | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
021002311 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608536 | Jamie R Smith | Nurse Practitioner | 3829 Lorna Rd Ste 312, Hoover, AL 35244-7058 | 2020-01-08 |
| 1609359181 | Jamie Niccole Smith | Case Manager/Care Coordinator | 709 S Arno St, Coalgate, OK 74538-1616 | 2018-09-11 |
| 1992236491 | Jamie Smith | Social Worker | 23 Sand Hill School Rd, Asheville, NC 28806-1020 | 2017-03-26 |
| 1609314228 | Jamie Roshonnda Smith | Behavioral Analyst | 1400 Cinder Rock Dr, 202, Las Vegas, NV 89128-3984 | 2017-02-02 |
| 1598124976 | Jamie Lynn Smith | Acupuncturist | 5611 W Highway 290, #106, Austin, TX 78735-8819 | 2016-02-15 |
| 1346611365 | Jamie Smith | Social Worker | 2103 E Washington St Bldg 3, Bloomington, IL 61701-4310 | 2015-10-16 |
| 1306183199 | Jamie Helen Smith | Massage Therapist | 333 Linnippi Trl, Lock Haven, PA 17745-3142 | 2013-01-14 |
| 1699077503 | Jamie M Smith | Physician Assistant | 7862 Red Mahogany Rd, Boynton Beach, FL 33437-7530 | 2010-11-29 |
| 1497073829 | Jamie Pauline Smith | Massage Therapist | 4340 Se Madison St, Portland, OR 97215-2431 | 2010-05-10 |
| 1194981902 | Jamie Lynn Smith | Counselor | 11500 Northlake Dr Ste 230, Cincinnati, OH 45249-1661 | 2008-07-31 |
| Street Address |
4207 N PROSPECT RD |
| City | PEORIA HEIGHTS |
| State | IL |
| Zip Code | 61616-7754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558748350 | Jennifer Lynn Kroll | Pediatrics | 1317 E Kelly Ave, Peoria Heights, IL 61616 | 2015-04-30 |
| 1649583485 | Aline Azar | Internal Medicine | 1120 E War Memorial Drive, Peoria Heights, IL 61616 | 2010-07-22 |
| 1417137217 | Reza Vakili | Dentist | 4450 N. Prospect Rd, Suite S5, Peoria Heights, IL 61616 | 2007-11-08 |
| 1588700348 | Sandra Kay Chatwood | Counselor | 3709 N Atlantic Ave, Peoria Heights, IL 61616 | 2007-01-29 |
| 1578619524 | Donald B Braunagel | Dentist | 924b F Glen Ave, Peoria Heights, IL 61616 | 2007-01-25 |
| 1417009481 | Jeffrey Scott Whitson | Dentist | 924 E Glen Ave, #b, Peoria Heights, IL 61616 | 2007-01-18 |
| 1003986019 | Sharshon Pharmacy. Inc. | Pharmacy | 4600 N. Prospect Rd., Suite 2, Peoria Heights, IL 61616 | 2006-11-08 |
| 1659790350 | Kevin Spangler | Nurse Practitioner | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2014-04-09 |
| 1114026754 | Mark Montefolka | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2006-09-21 |
| 1467683334 | Unlimited Advacare Systems, Inc | Durable Medical Equipment & Medical Supplies | 819 E London Ave, Peoria, IL 61616-1360 | 2009-07-27 |
| Find all providers in zip 61616 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709433 | Children's Center for Dentistry | Dentist | 314 Susan Dr, Normal, IL 61761-6206 | 2020-10-26 |
| 1073125746 | Jessica Mattern Dds, Pllc | Dentist | 326 W Burlington Ave, La Grange, IL 60525-2363 | 2020-08-23 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1710450754 | Drs Selberg & Rice Pllc | Dentist | 4945 Stone Falls Ctr Ste B, O Fallon, IL 62269-7801 | 2019-01-02 |
| 1821583634 | Dentalgenix | Dentist | 113 E Schaumburg Rd, Schaumburg, IL 60194-3518 | 2018-06-25 |
| 1528562253 | Rachel Vorwaller | Dentist | 1460 N Halsted St Ste 403, Chicago, IL 60642-2607 | 2018-03-19 |
| 1942740006 | Dhwani M. Joshi | Dentist | 195 S Rand Rd Ste 110, Lake Zurich, IL 60047-2205 | 2017-03-08 |
| 1316393390 | Erin Marie Petrik | Dentist | 2530 N Clark St, Apt 203, Chicago, IL 60614-4972 | 2016-05-10 |
| 1669839593 | Algonquin Kids Dentistry, Inc | Dentist | 4097 W Algonquin Rd, Algonquin, IL 60102-9401 | 2016-01-22 |
| 1720468598 | Mehedia Haque | Dentist | 2062 N Milwaukee Ave, Chicago, IL 60647 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | PEORIA HEIGHTS |
| Zip Code | 61616 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.