Smith, Todd Randall

Smith, Todd Randall is an individual health care provider with primary practice located at 1583 Common Street Suite 202, New Braunfels TX 78130. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smith, Todd Randall can be contacted via phone (830) 629-1954.

Contact Information

Primary practice address
1583 Common Street Suite 202 New Braunfels TX 78130
Phone: (830) 629-1954
Fax: (830) 625-3114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D16539 Texas

Profile Details

NPI number 1770692535
LBN Legal business name Smith, Todd Randall
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Oct 23rd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770692535 NPPES
Texas Other 1399228 UNITED CONCORDIA
Texas Other 87D655 UNITED CONCORDIA

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