Smith, Philip J
Smith, Philip J is an individual health care provider with primary practice located at 7455 E Tanque Verde Rd , Tucson AZ 85715-3477. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Smith, Philip J can be contacted via phone (520) 745-2454.Contact Information
Primary practice address
7455 E Tanque Verde Rd
Tucson AZ 85715-3477
Phone: (520) 745-2454
Fax: (520) 745-0014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D1665 | Arizona |
Profile Details
| NPI number | 1316001795 |
|---|---|
| LBN Legal business name | Smith, Philip J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jan 27th, 2009 - 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 | 1316001795 | NPPES |
| Arizona | MEDICAID | 765597 |
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