Smith, Craig Lamont
Smith, Craig Lamont is an individual health care provider with primary practice located at 1345 W Towne Square Rd , Mequon WI 53092-5047. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Craig Lamont can be contacted via phone (262) 242-1180.Contact Information
Primary practice address
1345 W Towne Square Rd
Mequon WI 53092-5047
Phone: (262) 242-1180
Fax: (262) 236-9079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6010 | Arizona |
| Dental Providers / General Practice | 1223G0001X | 5426-015 | Wisconsin |
Profile Details
| NPI number | 1316947690 |
|---|---|
| LBN Legal business name | Smith, Craig Lamont |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jan 2nd, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316947690 | NPPES |
| Arizona | MEDICAID | 860967 |
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