Smalley, Jack
Smalley, Jack is an individual health care provider with primary practice located at 1100 Fairfax Park , Tuscaloosa AL 35406-2809. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smalley, Jack can be contacted via phone (205) 752-3506.Contact Information
Primary practice address
1100 Fairfax Park
Tuscaloosa AL 35406-2809
Phone: (205) 752-3506
Fax: (205) 752-3570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | AL 3757 | Alabama |
Profile Details
| NPI number | 1295710838 |
|---|---|
| LBN Legal business name | Smalley, Jack |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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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