Smith, Paul R
Smith, Paul R is an individual health care provider with primary practice located at 5345 Spring Street , Davenport IA 52807-0000. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Smith, Paul R can be contacted via phone (563) 359-1601.Contact Information
Primary practice address
5345 Spring Street
Davenport IA 52807-0000
Phone: (563) 359-1601
Fax: (563) 355-7111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7850 | Iowa |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 8846 | Maryland |
Profile Details
| NPI number | 1174582928 |
|---|---|
| LBN Legal business name | Smith, Paul R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jul 8th, 2010 - about 16 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 | 1174582928 | NPPES |
| Iowa | MEDICAID | 0142778 | |
| Iowa | MEDICAID | 142778 | |
| Iowa | MEDICAID | 2142778 |
Popular Providers
-
Lee, Ryan Bumper
5345 Spring St , Davenport IA 52807-2764 -
Fleener, Michael
5345 Spring St , Davenport IA 52807-2764 -
Lalani, Zahid S
8687 Louetta Rd Suite 100, Spring TX 77379-6672 -
Hueser, Thomas Gerald
2305 E 52Nd St Suite 1, Davenport IA 52807-2762 -
Radecki, Cass Anthony
203 W Michigan Ave , Saline MI 48176-1329 -
Rector, Susan Ann
2305 East 52 Street Suite 1, Davenport IA 52807 -
Riley, Terrance P
5345 Spring St , Davenport IA 52807-2764 -
Erlichman, Michael C
703 Main Street St. Joseph'S Regional Medical Center, Paterson NJ 07503