Smith, Walter Haywood
Smith, Walter Haywood is an individual health care provider with primary practice located at 2505 Larkin Road Suite 201, Lexington KY 40503. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is his primary health care specialty. Smith, Walter Haywood can be contacted via phone (859) 278-6009.Contact Information
Primary practice address
2505 Larkin Road Suite 201
Lexington KY 40503
Phone: (859) 278-6009
Fax: (859) 278-4443
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 4084 | Kentucky |
Dental Providers / Pediatric Dentistry | 1223P0221X | 195 | Kentucky |
Profile Details
NPI number | 1316033004 |
---|---|
LBN Legal business name | Smith, Walter Haywood |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1316033004 | NPPES |
Kentucky | Other | 4084 | STATE LICENSE NUMBER |
Kentucky | Other | STATE LICENSE NUMBER | STATE LICENSE NUMBER |
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