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
Fax: (903) 758-3194
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831191188 NPPES
Texas MEDICAID 008748801

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