Smith Williams, Jennifer E
Smith Williams, Jennifer E is an sole proprietor health care provider with primary practice located at 575 Boylston St 5Th Floor, Boston MA 02116. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Smith Williams, Jennifer E can be contacted via phone (617) 267-7002.Contact Information
Primary practice address
575 Boylston St 5Th Floor
Boston MA 02116
Phone: (617) 267-7002
Fax: (617) 536-1568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 16418 | Massachusetts |
Profile Details
| NPI number | 1124092093 |
|---|---|
| LBN Legal business name | Smith Williams, Jennifer E |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jul 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124092093 | NPPES |
| Massachusetts | Other | 16537 | HARVARD PILGRIM HEALTHCAR |
| Massachusetts | MEDICAID | 0273015 | HARVARD PILGRIM HEALTHCAR |
| Massachusetts | Other | X06271SM | HARVARD PILGRIM HEALTHCAR |
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