Smith, David Bent

Smith, David Bent is an individual health care provider with primary practice located at 55 Fruit St Yaw 7, Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Smith, David Bent can be contacted via phone (617) 724-4000.

Contact Information

Primary practice address
55 Fruit St Yaw 7 Boston MA 02114-2621
Fax: (617) 724-6801
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 50864 Massachusetts

Profile Details

NPI number 1730170911
LBN Legal business name Smith, David Bent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 20th, 2012 - about 13 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 1730170911 NPPES
Massachusetts Other J02132 BCBS MA
Massachusetts MEDICAID 2082381 BCBS MA
Massachusetts Other 050864 BCBS MA

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