Smith, Kelli Simone
Smith, Kelli Simone is an individual health care provider with primary practice located at 1630 Market Center Blvd Fl 1 , O Fallon MO 63368-8407. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Smith, Kelli Simone can be contacted via phone (636) 300-4380.Contact Information
Primary practice address
1630 Market Center Blvd Fl 1
O Fallon MO 63368-8407
Phone: (636) 300-4380
Fax: (636) 300-0073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2021022556 | Missouri |
Profile Details
| NPI number | 1497323117 |
|---|---|
| LBN Legal business name | Smith, Kelli Simone |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2021 |
| Last updated | Jun 17th, 2021 - about 4 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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