Smith, Douglas Howard

Smith, Douglas Howard is an individual health care provider with primary practice located at 130 S 130 St , Wooster OH 44691. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smith, Douglas Howard can be contacted via phone (330) 264-9678.

Contact Information

Primary practice address
130 S 130 St Wooster OH 44691
Fax: (330) 466-3077
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30-16682 Ohio

Profile Details

NPI number 1134454127
LBN Legal business name Smith, Douglas Howard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2009
Last updated Oct 8th, 2009 - about 15 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 1134454127 NPPES
Ohio MEDICAID 0466759

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