Chacon-Smith, Lorena
Chacon-Smith, Lorena is an sole proprietor health care provider with primary practice located at 905 N Gulf Blvd , Freeport TX 77541-3907. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Chacon-Smith, Lorena can be contacted via phone (281) 824-1490.Contact Information
Primary practice address
905 N Gulf Blvd
Freeport TX 77541-3907
Phone: (281) 824-1490
Fax: (281) 220-6407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 31209 | Texas |
Profile Details
| NPI number | 1982089074 |
|---|---|
| LBN Legal business name | Chacon-Smith, Lorena |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2015 |
| Last updated | Apr 6th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982089074 | NPPES |
| Texas | MEDICAID | 364193801 |
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