Smith, Justin R

Smith, Justin R is an individual health care provider with primary practice located at 2407 Saint Andrews Blvd Ste A , Panama City FL 32405-2170. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Smith, Justin R can be contacted via phone (850) 763-5021.

Contact Information

Primary practice address
2407 Saint Andrews Blvd Ste A Panama City FL 32405-2170
Phone: (850) 763-5021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D0005975-C1 Alabama
Dental Providers / General Practice 1223G0001X DN 19194 Florida
Dental Providers / General Practice 1223G0001X DN19194 Florida
Dental Providers / Dentist 122300000X DN19194 Florida

Profile Details

NPI number 1497061634
LBN Legal business name Smith, Justin R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2010
Last updated Sep 29th, 2022 - about 2 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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