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, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and 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: (920) 347-0868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4041 | Arkansas |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 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 19th, 2026 - about 5 months 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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