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
Fax: (806) 353-4767
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023234606 NPPES
Texas Other G60178-1 CHIP PROVIDER NUMBER

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