Smith, Loretta A

Smith, Loretta A is an sole proprietor health care provider with primary practice located at 9035 S Western Ave , Chicago IL 60620-6133. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Smith, Loretta A can be contacted via phone (773) 445-7777.

Contact Information

Primary practice address
9035 S Western Ave Chicago IL 60620-6133
Fax: (773) 445-7750
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 019-020966 Illinois

Profile Details

NPI number 1346365731
LBN Legal business name Smith, Loretta A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Sep 26th, 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.

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