Smith, Bradley John
Smith, Bradley John is an individual health care provider with primary practice located at Psc 476 Box1159, Fpo AP 96322. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smith, Bradley John can be contacted via phone (314) 252-3747.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 019024984 | Illinois |
Profile Details
NPI number | 1194701524 |
---|---|
LBN Legal business name | Smith, Bradley John |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 18th, 2005 |
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.
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