Smith, John Alexander

Smith, John Alexander is an individual health care provider with primary practice located at 136 E Broadway , Bel Air MD 21014-2904. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Smith, John Alexander can be contacted via phone (410) 893-8706.

Contact Information

Primary practice address
136 E Broadway Bel Air MD 21014-2904
Fax: (410) 893-3691
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 10065 Maryland

Profile Details

NPI number 1821161191
LBN Legal business name Smith, John Alexander
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1821161191 NPPES
Maryland Other KS26 BLUE CROSS BLUE SHIELD MD

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