Smith, Allen Todd

Smith, Allen Todd is an individual health care provider with primary practice located at 1601 South Hawthorne Rd , Winston Salem NC 27103-4127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Smith, Allen Todd can be contacted via phone (336) 765-9550.

Contact Information

Primary practice address
1601 South Hawthorne Rd Winston Salem NC 27103-4127
Phone: (336) 765-9550
Fax: (336) 765-9552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 5848 North Carolina

Profile Details

NPI number 1841388188
LBN Legal business name Smith, Allen Todd
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Aug 1st, 2019 - about 5 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 1841388188 NPPES
North Carolina MEDICAID 8997869

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