Smith, John Michael
Smith, John Michael is an individual health care provider with primary practice located at 15380 Bagley Rd , Middleburg Heights OH 44130-4824. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Smith, John Michael can be contacted via phone (440) 888-6300.Contact Information
Primary practice address
15380 Bagley Rd
Middleburg Heights OH 44130-4824
Phone: (440) 888-6300
Fax: (440) 888-6329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 17587 | Ohio |
Profile Details
| NPI number | 1497758122 |
|---|---|
| LBN Legal business name | Smith, John Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1497758122 | NPPES |
| Ohio | MEDICAID | 0596029 | |
| Ohio | Other | 483091 |
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