Smith, Brian G

Smith, Brian G is an individual health care provider with primary practice located at 13033 S La Grange Rd , Palos Park IL 60464-1718. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smith, Brian G can be contacted via phone (708) 361-4300.

Contact Information

Primary practice address
13033 S La Grange Rd Palos Park IL 60464-1718
Phone: (708) 361-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DEN.00204431 Colorado
Dental Providers / Dentist 122300000X 019.031658 Illinois

Profile Details

NPI number 1457837742
LBN Legal business name Smith, Brian G
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2018
Last updated Jul 23rd, 2020 - about 6 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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