Smith, Nikki

Smith, Nikki is an individual health care provider with primary practice located at 1050 Basalt Ct , Hemet CA 92543-7884. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Smith, Nikki can be contacted via phone (951) 203-6618.

Contact Information

Primary practice address
1050 Basalt Ct Hemet CA 92543-7884
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 91379 California

Profile Details

NPI number 1659808301
LBN Legal business name Smith, Nikki
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2017
Last updated May 12th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659808301 NPPES
California MEDICAID 91379

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