Smith, Johanna S

Smith, Johanna S is an sole proprietor health care provider with primary practice located at 625 Walnut Ridge Dr Ste 102 , Hartland WI 53029-8803. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Smith, Johanna S can be contacted via phone (262) 367-4255.

Contact Information

Primary practice address
625 Walnut Ridge Dr Ste 102 Hartland WI 53029-8803
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7087-15 Wisconsin

Profile Details

NPI number 1518302538
LBN Legal business name Smith, Johanna S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2013
Last updated Mar 25th, 2023 - about 3 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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