Darr, Krista Smith
Darr, Krista Smith is an individual health care provider with primary practice located at 3002 H G Mosley Pkwy , Longview TX 75605-2948. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Darr, Krista Smith can be contacted via phone (903) 758-3191.Contact Information
Primary practice address
3002 H G Mosley Pkwy
Longview TX 75605-2948
Phone: (903) 758-3191
Fax: (903) 758-3194
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 14175 | Texas |
Profile Details
NPI number | 1831191188 |
---|---|
LBN Legal business name | Darr, Krista Smith |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2005 |
Last updated | Jun 8th, 2009 - about 16 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 | 1831191188 | NPPES |
Texas | MEDICAID | 008748801 |
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