Smith, Mickey Dean

Smith, Mickey Dean is an sole proprietor health care provider with primary practice located at 844 6Th St , Clarkston WA 99403-2013. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Smith, Mickey Dean can be contacted via phone (208) 848-8308.

Contact Information

Primary practice address
844 6Th St Clarkston WA 99403-2013
Phone: (208) 848-8308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 60778846 Washington

Profile Details

NPI number 1487170999
LBN Legal business name Smith, Mickey Dean
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2017
Last updated Jul 21st, 2022 - about 3 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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