Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Smith, DENTALASSISTANTX2

Individual provider Dental Assistant · NPI 1669821351

Jonathan Smith, DENTALASSISTANTX2 is a Dental Assistant in Fort Drum, New York. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

10590 Enduring Freedom Dr
Fort Drum, NY 13602-5005
Phone: (315) 772-6234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X

Record details

NPI number1669821351
Entity typeIndividual (Type 1)
GenderMale
Credentials DENTALASSISTANTX2
Sole proprietorYes
NPI enumeratedJune 3, 2016
Last updated in NPPESJune 3, 2016
Mailing address10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005

Other providers in Fort Drum