Smith, Charles Lester

Smith, Charles Lester is an individual health care provider with primary practice located at 1501 7Th Ave , Charleston WV 25312. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Charles Lester can be contacted via phone (304) 343-9131.

Contact Information

Primary practice address
1501 7Th Ave Charleston WV 25312
Fax: (304) 343-2416
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2700 West Virginia

Profile Details

NPI number 1487752085
LBN Legal business name Smith, Charles Lester
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 15th, 2014 - about 11 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 1487752085 NPPES
West Virginia MEDICAID 0137214000

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