Smith, Michael James
Smith, Michael James is an sole proprietor health care provider with primary practice located at 91 Lakes Rd , Monroe NY 10950-2613. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Smith, Michael James can be contacted via phone (845) 782-4220.Contact Information
Primary practice address
91 Lakes Rd
Monroe NY 10950-2613
Phone: (845) 782-4220
Fax: (845) 783-4846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 035261 | New York |
Profile Details
| NPI number | 1023084274 |
|---|---|
| LBN Legal business name | Smith, Michael James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Aug 31st, 2010 - about 14 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 | 1023084274 | NPPES |
| New York | MEDICAID | 00727284 |
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