Smith, Roy Randall

Smith, Roy Randall is an sole proprietor health care provider with primary practice located at 5400 New Copeland Rd , Tyler TX 75703-3950. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Roy Randall can be contacted via phone (903) 534-1171.

Contact Information

Primary practice address
5400 New Copeland Rd Tyler TX 75703-3950
Fax: (903) 534-6054
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12502 Texas

Profile Details

NPI number 1144379819
LBN Legal business name Smith, Roy Randall
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
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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