| Organization Name: | TARYN SMITH JIROUSEK, DMD, PC |
| NPI Number: | 1932363512 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TARYN SMITH JIROUSEK (PRESIDENT) |
| Mailing Address: | 19 South St Marcellus |
| State: | NY US |
| Postal Code: | 131081354 |
| Phone Number: | 3156731013 |
| Fax Number: | 3156732556 |
| NPI Enumeration Date: | 07/14/2008 |
| NPI Last Update Date: | 07/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 053079 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |