Smith, Wyatt L

Smith, Wyatt L is an individual health care provider with primary practice located at 5010 Broadway , Gary IN 46408-4606. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Wyatt L can be contacted via phone (219) 887-6053.

Contact Information

Primary practice address
5010 Broadway Gary IN 46408-4606
Phone: (219) 887-6053
Fax: (219) 887-3626
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8147 Indiana

Profile Details

NPI number 1356564512
LBN Legal business name Smith, Wyatt L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 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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