Smith, Douglas Howard
Smith, Douglas Howard is an individual health care provider with primary practice located at 130 S 130 St , Wooster OH 44691. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smith, Douglas Howard can be contacted via phone (330) 264-9678.Contact Information
Primary practice address
130 S 130 St
Wooster OH 44691
Phone: (330) 264-9678
Fax: (330) 466-3077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 30-16682 | Ohio |
Profile Details
| NPI number | 1134454127 |
|---|---|
| LBN Legal business name | Smith, Douglas Howard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2009 |
| Last updated | Oct 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134454127 | NPPES |
| Ohio | MEDICAID | 0466759 |
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