Smith, Charles William
Smith, Charles William is an individual health care provider with primary practice located at 5039 Hwy 52N W. Frontage , Rochester MN 55901. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Charles William can be contacted via phone (507) 282-7905.Contact Information
Primary practice address
5039 Hwy 52N W. Frontage
Rochester MN 55901
Phone: (507) 282-7905
Fax: (507) 286-9382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9387 | Minnesota |
Profile Details
| NPI number | 1982697843 |
|---|---|
| LBN Legal business name | Smith, Charles William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Dec 30th, 2015 - about 11 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 | 1982697843 | NPPES |
| Minnesota | Other | 5011757 | MD TAX ID |
| Minnesota | Other | 555133 | MD TAX ID |
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