Smith, Dean T

Smith, Dean T is an individual health care provider with primary practice located at 391 Shore Haven Dr Se , Grand Rapids MI 49546-2257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Dean T can be contacted via phone (616) 479-8936.

Contact Information

Primary practice address
391 Shore Haven Dr Se Grand Rapids MI 49546-2257
Phone: (616) 479-8936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301028094 Michigan

Profile Details

NPI number 1811990252
LBN Legal business name Smith, Dean T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Mar 2nd, 2017 - about 8 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 1811990252 NPPES
Michigan MEDICAID 4471960

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