Smith, Miranda Whylly
Smith, Miranda Whylly is an individual health care provider with primary practice located at 2707 Tampa Rd , Palm Harbor FL 34684-3312. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Smith, Miranda Whylly can be contacted via phone (727) 785-6521.Contact Information
Primary practice address
2707 Tampa Rd
Palm Harbor FL 34684-3312
Phone: (727) 785-6521
Fax: (727) 785-6237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN15873 | Florida |
Profile Details
| NPI number | 1942426275 |
|---|---|
| LBN Legal business name | Smith, Miranda Whylly |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Feb 24th, 2010 - about 15 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 | 1942426275 | NPPES |
| Florida | MEDICAID | 075275400 |
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