Smith, Paul A
Smith, Paul A is an individual health care provider with primary practice located at 1060 W Perimeter Rd , Jb Andrews MD 20762-6602. He recently has 3 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Smith, Paul A can be contacted via phone (240) 857-5029.Contact Information
Primary practice address
1060 W Perimeter Rd
Jb Andrews MD 20762-6602
Phone: (240) 857-5029
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5585 | Louisiana |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 12997 | North Carolina |
| Dental Providers / General Practice | 1223G0001X | 5585 | Louisiana |
| Dental Providers / Dentist | 122300000X | 5585 | Louisiana |
Profile Details
| NPI number | 1700813797 |
|---|---|
| LBN Legal business name | Smith, Paul A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jun 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700813797 | NPPES |
| Louisiana | MEDICAID | 1855855 |
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