Smith, Matthew

Smith, Matthew is an individual health care provider with primary practice located at 15492 Max Leggett Parkway Suite 2, Jacksonville FL 32218. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Smith, Matthew can be contacted via phone (904) 414-4500.

Contact Information

Primary practice address
15492 Max Leggett Parkway Suite 2 Jacksonville FL 32218
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN.00202550 Colorado
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN24056 Florida

Profile Details

NPI number 1558743328
LBN Legal business name Smith, Matthew
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2015
Last updated Dec 5th, 2022 - about 4 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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