Smith, Latonia Shante
Smith, Latonia Shante is an individual health care provider with primary practice located at 2701 Osler Dr Suite 10, Grand Prairie TX 75051-1064. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Smith, Latonia Shante can be contacted via phone (979) 595-7276.Contact Information
Primary practice address
2701 Osler Dr Suite 10
Grand Prairie TX 75051-1064
Phone: (979) 595-7276
Fax: (972) 641-5448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 23117 | Texas |
Profile Details
| NPI number | 1881817740 |
|---|---|
| LBN Legal business name | Smith, Latonia Shante |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Feb 22nd, 2012 - about 12 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 | 1881817740 | NPPES |
| Texas | MEDICAID | 154467801 | |
| Texas | MEDICAID | 154467803 |
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