Smith, Paul R

Smith, Paul R is an individual health care provider with primary practice located at 5345 Spring Street , Davenport IA 52807-0000. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Smith, Paul R can be contacted via phone (563) 359-1601.

Contact Information

Primary practice address
5345 Spring Street Davenport IA 52807-0000
Phone: (563) 359-1601
Fax: (563) 355-7111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7850 Iowa
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8846 Maryland

Profile Details

NPI number 1174582928
LBN Legal business name Smith, Paul R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174582928 NPPES
Iowa MEDICAID 0142778
Iowa MEDICAID 142778
Iowa MEDICAID 2142778

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