Smith, Randall Lamar
Smith, Randall Lamar is an sole proprietor health care provider with primary practice located at 4089 Val Tech Rd , Valdosta GA 31602-0929. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Smith, Randall Lamar can be contacted via phone (229) 245-3716.Contact Information
Primary practice address
4089 Val Tech Rd
Valdosta GA 31602-0929
Phone: (229) 245-3716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 7932 | Georgia |
Profile Details
| NPI number | 1316192388 |
|---|---|
| LBN Legal business name | Smith, Randall Lamar |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2008 |
| Last updated | Nov 18th, 2008 - about 16 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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