Smith, Dean A
Smith, Dean A is an individual health care provider with primary practice located at 305 Wildwood Cir , Myrtle Beach SC 29572-4748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Dean A can be contacted via phone (843) 497-8538.Contact Information
Primary practice address
305 Wildwood Cir
Myrtle Beach SC 29572-4748
Phone: (843) 497-8538
Fax: (843) 449-2333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20127 | South Carolina |
Profile Details
| NPI number | 1811963390 |
|---|---|
| LBN Legal business name | Smith, Dean A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | May 21st, 2012 - about 12 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 | 1811963390 | NPPES |
| South Carolina | MEDICAID | N00356 |
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