Smith, Vincent
Smith, Vincent is an individual health care provider with primary practice located at 6925 Willow Street B-106, Washington DC 20012. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smith, Vincent can be contacted via phone (202) 723-8284.Contact Information
Primary practice address
6925 Willow Street B-106
Washington DC 20012
Phone: (202) 723-8284
Fax: (202) 882-1127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1000836 | District of Columbia |
| Dental Providers / Dentist | 122300000X | 14260 | Maryland |
Profile Details
| NPI number | 1164420758 |
|---|---|
| LBN Legal business name | Smith, Vincent |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Feb 28th, 2017 - about 7 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 | 1164420758 | NPPES |
| District of Columbia | MEDICAID | 05301900 |
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