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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093865305 NPPES
West Virginia MEDICAID 4005034-000

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