Rickey E Smith in Brockton - Dentist

Rickey E Smith - NPI 1720289648

Rickey E Smith is a Dentist in Brockton, Massachusetts. Rickey E Smith practices all healthcare services and medical treatments related to Dentist. The NPI Number for Rickey E Smith is 1720289648. The last update date is 2013-08-05.

Rickey E Smith's current location address is 63 Main St, Brockton, Massachusetts. You can contact this provider via phone number 5085596699 and fax number 5085595073. The mailing address for Rickey E Smith is 63 Main St, Brockton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Rickey E Smith
Address 63 Main St, Brockton, Massachusetts
Phone Number 5085596699
Fax Number 5085595073
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1720289648
Provider Enumeration Date 2007-05-29
Last Updated Date 2013-08-05

Provider Mailing Address Detail

Address 63 Main St
City Brockton
State Massachusetts (MA)
Post Code 23014042
Phone Number 5085596699
Fax Number 5085595073

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 17604
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
281751 MA --

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FAQs about Rickey E Smith

What is the unique provider identifier assigned to Rickey E Smith?

The Rickey E Smith has been issued the NPI (National Provider Identifier) 1720289648 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Rickey E Smith's physical address?

The Rickey E Smith is physically located at 63 Main St, in the city of Brockton, MA, with the postal code 23014042.

What is the area of specialization for Rickey E Smith, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Rickey E Smith is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did Rickey E Smith receive its 1720289648 assignment from the Centers for Medicare & Medicaid Services?

The Rickey E Smith was assigned its 1720289648 on 2007-05-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Rickey E Smith's details last updated?

The information pertaining to the Rickey E Smith, including its address, specialty, and other details, was most recently updated on 2013-08-05.

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