Smith, Mandie Lynn
Smith, Mandie Lynn is an individual health care provider with primary practice located at 829 Chief Eddie Hoffman Highway , Bethel AK 99559. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Smith, Mandie Lynn can be contacted via phone (907) 543-6229.Contact Information
Primary practice address
829 Chief Eddie Hoffman Highway
Bethel AK 99559
Phone: (907) 543-6229
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 21424 | Texas |
Profile Details
| NPI number | 1265656482 |
|---|---|
| LBN Legal business name | Smith, Mandie Lynn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1265656482 | NPPES |
| Alaska | MEDICAID | DD4131 |
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