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
Phone: (904) 414-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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