Smith, Katherine Mary

Smith, Katherine Mary is an individual health care provider with primary practice located at 3555 Louisiana Ave S , St Louis Park MN 55426-4121. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Smith, Katherine Mary can be contacted via phone (952) 935-9009.

Contact Information

Primary practice address
3555 Louisiana Ave S St Louis Park MN 55426-4121
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 13599 Minnesota

Profile Details

NPI number 1275889230
LBN Legal business name Smith, Katherine Mary
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2012
Last updated Dec 18th, 2024 - about 2 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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