Smith, Gerald R.

Smith, Gerald R. is an individual health care provider with primary practice located at 9203 Huron St , Thornton CO 80260-5495. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smith, Gerald R. can be contacted via phone (303) 429-2273.

Contact Information

Primary practice address
9203 Huron St Thornton CO 80260-5495
Fax: (303) 429-3233
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 105025 Colorado

Profile Details

NPI number 1548346679
LBN Legal business name Smith, Gerald R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1548346679 NPPES
Colorado MEDICAID 02050250

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