Smith, Clayton B.
Smith, Clayton B. is an sole proprietor health care provider with primary practice located at 1606 Doctors Cir , Wilmington NC 28401-7406. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smith, Clayton B. can be contacted via phone (910) 762-5235.Contact Information
Primary practice address
1606 Doctors Cir
Wilmington NC 28401-7406
Phone: (910) 762-5235
Fax: (910) 762-6860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6403 | North Carolina |
Profile Details
| NPI number | 1992822100 |
|---|---|
| LBN Legal business name | Smith, Clayton B. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1992822100 | NPPES |
| North Carolina | Other | 90156 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 8990156 | BLUE CROSS BLUE SHIELD |
| North Carolina | Other | 822-362 | BLUE CROSS BLUE SHIELD |
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