Smith, Randall Wayne
Smith, Randall Wayne is an individual health care provider with primary practice located at 707 Pier View Way , Oceanside CA 92054-2801. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Randall Wayne can be contacted via phone (760) 722-1451.Contact Information
Primary practice address
707 Pier View Way
Oceanside CA 92054-2801
Phone: (760) 722-1451
Fax: (760) 722-1476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 29855 | California |
Profile Details
| NPI number | 1790744332 |
|---|---|
| LBN Legal business name | Smith, Randall Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1790744332 | NPPES |
| California | Other | 29855 | LICENSE |
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