Smith, Grayson Bennett

Smith, Grayson Bennett is an individual health care provider with primary practice located at 933 Old Rockford Street Suite 7, Mount Airy NC 27030-5356. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smith, Grayson Bennett can be contacted via phone (336) 789-5306.

Contact Information

Primary practice address
933 Old Rockford Street Suite 7 Mount Airy NC 27030-5356
Fax: (336) 789-3311
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5240 North Carolina

Profile Details

NPI number 1497876015
LBN Legal business name Smith, Grayson Bennett
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497876015 NPPES
North Carolina MEDICAID 8997864

Popular Providers