Smith, Crystal Jo
Smith, Crystal Jo is an sole proprietor health care provider with primary practice located at Bldg 38801 Academic Dr Suite B & C, Ft Gordon GA 30905-5660. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Smith, Crystal Jo can be contacted via phone (706) 787-6927.Contact Information
Primary practice address
Bldg 38801 Academic Dr Suite B & C
Ft Gordon GA 30905-5660
Phone: (706) 787-6927
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2675 | New Mexico |
Profile Details
| NPI number | 1831175769 |
|---|---|
| LBN Legal business name | Smith, Crystal Jo |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Aug 12th, 2019 - about 7 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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