Smolder, Craig
Smolder, Craig is an sole proprietor health care provider with primary practice located at 3860 Teays Valley Rd Suite 5, Hurricane WV 25526-9772. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smolder, Craig can be contacted via phone (304) 757-1000.Contact Information
Primary practice address
3860 Teays Valley Rd Suite 5
Hurricane WV 25526-9772
Phone: (304) 757-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 3499 | West Virginia |
Profile Details
NPI number | 1093865305 |
---|---|
LBN Legal business name | Smolder, Craig |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 11th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093865305 | NPPES |
West Virginia | MEDICAID | 4005034-000 |
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