Smart, J. Richard
Smart, J. Richard is an sole proprietor health care provider with primary practice located at 2180 E 4500 S Suite 250, Holladay UT 84117-4434. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smart, J. Richard can be contacted via phone (801) 272-8609.Contact Information
Primary practice address
2180 E 4500 S Suite 250
Holladay UT 84117-4434
Phone: (801) 272-8609
Fax: (807) 272-6167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2065 | Utah |
Profile Details
| NPI number | 1861538126 |
|---|---|
| LBN Legal business name | Smart, J. Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1861538126 | NPPES |
| Utah | MEDICAID | 528654698001 |
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