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DR SUSAN SMITH DDS PROF CORP NPI 1629383880


NPI Information

NPI: 1629383880
Provider Name: DR SUSAN SMITH DDS PROF CORP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8275 S. EASTERN AVENUE #101
LAS VEGAS, NV
ZIP 89123
Phone: (702) 967-1700
Get Directions

DR SUSAN SMITH DDS PROF CORP is a general practice dentist in Las Vegas, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR SUSAN SMITH DDS PROF CORP NPI is 1629383880. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8275 S. EASTERN AVENUE #101
LAS VEGAS, NV
ZIP 89123
Phone: (702) 967-1700
Fax: (702) 967-1703

The provider's authorized official is Susan Schmutz Smith .
The authorized official title is Dentist and has the following contact phone number (702) 967-1700.

The enumeration date for this NPI number is 8/12/2010 and was last updated on 6/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice3782NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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