Smart, Daisy
Smart, Daisy is an individual health care provider with primary practice located at 131 Maple Row Blvd Ste D402 , Hendersonville TN 37075-3777. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Smart, Daisy can be contacted via phone (615) 824-9774.Contact Information
Primary practice address
131 Maple Row Blvd Ste D402
Hendersonville TN 37075-3777
Phone: (615) 824-9774
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 54622 | California |
Dental Providers / Dentist | 122300000X | 1325 | Alaska |
Dental Providers / Dentist | 122300000X | CSDT 83 | Hawaii |
Dental Providers / General Practice | 1223G0001X | DS11935 | Tennessee |
Profile Details
NPI number | 1790832178 |
---|---|
LBN Legal business name | Smart, Daisy |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 5th, 2007 |
Last updated | Jun 29th, 2023 - about last year |
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 | 1790832178 | NPPES |
Alaska | MEDICAID | 1002836 | |
Alaska | MEDICAID | 786543 |
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