Smith, Donald G

Smith, Donald G is an individual health care provider with primary practice located at 2104 Taylor Ave , Norfolk NE 68701-4640. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Smith, Donald G can be contacted via phone (402) 371-6566.

Contact Information

Primary practice address
2104 Taylor Ave Norfolk NE 68701-4640
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4294 Nebraska

Profile Details

NPI number 1770724833
LBN Legal business name Smith, Donald G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2009
Last updated Mar 18th, 2009 - about 17 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 1770724833 NPPES
Nebraska MEDICAID 10025683100

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