Smith, Richard Madsen
Smith, Richard Madsen is an individual health care provider with primary practice located at 3611 S Georgia St , Amarillo TX 79109-4847. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smith, Richard Madsen can be contacted via phone (806) 353-4361.Contact Information
Primary practice address
3611 S Georgia St
Amarillo TX 79109-4847
Phone: (806) 353-4361
Fax: (806) 353-4767
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 9826 | Texas |
Profile Details
NPI number | 1023234606 |
---|---|
LBN Legal business name | Smith, Richard Madsen |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2007 |
Last updated | Jul 9th, 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 | 1023234606 | NPPES |
Texas | Other | G60178-1 | CHIP PROVIDER NUMBER |
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