Smith, Rickey E
Smith, Rickey E is an individual health care provider with primary practice located at 63 Main St , Brockton MA 02301-4042. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smith, Rickey E can be contacted via phone (508) 559-6699.Contact Information
Primary practice address
63 Main St
Brockton MA 02301-4042
Phone: (508) 559-6699
Fax: (508) 559-5073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 17604 | Massachusetts |
Profile Details
| NPI number | 1720289648 |
|---|---|
| LBN Legal business name | Smith, Rickey E |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Aug 5th, 2013 - about 12 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 | 1720289648 | NPPES |
| Massachusetts | MEDICAID | 0281751 |
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