Smoak, Dennis Jason

Smoak, Dennis Jason is an individual health care provider with primary practice located at 2431 W Main St Ste 1001 , Dothan AL 36301-6404. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smoak, Dennis Jason can be contacted via phone (334) 794-2825.

Contact Information

Primary practice address
2431 W Main St Ste 1001 Dothan AL 36301-6404
Phone: (334) 794-2825
Fax: (344) 793-5050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA434 Alabama

Profile Details

NPI number 1275516825
LBN Legal business name Smoak, Dennis Jason
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275516825 NPPES
Alabama Other 515-31347 BCBS-1108 ROSS CLARK
Alabama Other 515-31348 BCBS-1108 ROSS CLARK
Alabama Other 515-31346 BCBS-1108 ROSS CLARK
Alabama Other 515-31349 BCBS-1108 ROSS CLARK

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