Smith, Philip Edwin
Smith, Philip Edwin is an individual health care provider with primary practice located at 509 E Main St , Lexington SC 29072-3605. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Philip Edwin can be contacted via phone (803) 359-9991.Contact Information
Primary practice address
509 E Main St
Lexington SC 29072-3605
Phone: (803) 359-9991
Fax: (803) 359-3004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | SC 1830 | South Carolina |
Profile Details
| NPI number | 1285790378 |
|---|---|
| LBN Legal business name | Smith, Philip Edwin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1285790378 | NPPES |
| South Carolina | MEDICAID | Z18302 |
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