Smith, Randall B
Smith, Randall B is an individual health care provider with primary practice located at 1848 S Millenium Way , Meridian ID 83642. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Randall B can be contacted via phone (208) 888-2026.Contact Information
Primary practice address
1848 S Millenium Way
Meridian ID 83642
Phone: (208) 888-2026
Fax: (208) 888-2094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D-3169 | Idaho |
Profile Details
| NPI number | 1639264658 |
|---|---|
| LBN Legal business name | Smith, Randall B |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Sep 22nd, 2021 - about 4 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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