Smith, Kevin Stewart
Smith, Kevin Stewart is an individual health care provider with primary practice located at 1000 N Lincoln Blvd Ste 200, Oklahoma City OK 73104-3252. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Smith, Kevin Stewart can be contacted via phone (405) 271-4955.Contact Information
Primary practice address
1000 N Lincoln Blvd Ste 200
Oklahoma City OK 73104-3252
Phone: (405) 271-4955
Fax: (405) 271-4525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4894 | Oklahoma |
Profile Details
| NPI number | 1396785481 |
|---|---|
| LBN Legal business name | Smith, Kevin Stewart |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396785481 | NPPES |
| Oklahoma | MEDICAID | 100824870A |
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