Smart, Jonathan Dean

Smart, Jonathan Dean is an individual health care provider with primary practice located at 2342 Nw Professional Dr. , Corvallis OR 97330. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smart, Jonathan Dean can be contacted via phone (541) 757-7708.

Contact Information

Primary practice address
2342 Nw Professional Dr. Corvallis OR 97330
Phone: (541) 757-7708
Fax: (541) 738-7192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5765733-9922 Utah
Dental Providers / General Practice 1223G0001X D8256 Oregon

Profile Details

NPI number 1225040116
LBN Legal business name Smart, Jonathan Dean
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Sep 7th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225040116 NPPES
Utah Other 1702399 UNITED CONCORDIA
Utah Other 5765733 UNITED CONCORDIA
Utah Other 57657339900001 UNITED CONCORDIA
Utah Other 885140 UNITED CONCORDIA
Utah Other 77777 UNITED CONCORDIA
Utah Other 84083 UNITED CONCORDIA

Popular Providers