Smith, Richard L.

Smith, Richard L. is an sole proprietor health care provider with primary practice located at 445 Fairfield Dr , Madison MS 39110-8597. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Richard L. can be contacted via phone (601) 497-3218.

Contact Information

Primary practice address
445 Fairfield Dr Madison MS 39110-8597
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2749-93 Mississippi

Profile Details

NPI number 1073526760
LBN Legal business name Smith, Richard L.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073526760 NPPES
Mississippi MEDICAID 04629211

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