Smith, Logan Michael
Smith, Logan Michael is an individual health care provider with primary practice located at 5220 Neil Rd Ste 200 , Reno NV 89502-6536. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Logan Michael can be contacted via phone (775) 826-2826.Contact Information
Primary practice address
5220 Neil Rd Ste 200
Reno NV 89502-6536
Phone: (775) 826-2826
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 48680 | California |
| Dental Providers / General Practice | 1223G0001X | 5080 | Nevada |
Profile Details
| NPI number | 1407840010 |
|---|---|
| LBN Legal business name | Smith, Logan Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Jun 4th, 2008 - about 16 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 | 1407840010 | NPPES |
| Nevada | Other | 1265495964 | COLOSIMO DENTAL GROUP NPI |
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