Smith, Richard Tyler

Smith, Richard Tyler is an individual health care provider with primary practice located at 2581 Development Dr , Green Bay WI 54311-4247. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Smith, Richard Tyler can be contacted via phone (920) 347-0400.

Contact Information

Primary practice address
2581 Development Dr Green Bay WI 54311-4247
Phone: (920) 347-0400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4041 Arkansas
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 6001447 Wisconsin

Profile Details

NPI number 1982084968
LBN Legal business name Smith, Richard Tyler
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2015
Last updated May 22nd, 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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