Dr. Craig Michael Smith
Dentist - General Practice
182 S Ramona Blvd
San Jacinto
, California 92583-3437
Dr. Craig Michael Smith
Dentist - General Practice
182 S Ramona Blvd
San Jacinto
, California 92583-3437
(951) 654-1352
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Craig Michael Smith
- 182 S Ramona Blvd
- San Jacinto, CA
- Zip : 92583-3437
- Fax : (951) 654-1352
- Phone : (951) 654-7393
Second Address
- Dr. Craig Michael Smith
- 182 S Ramona Blvd
- San Jacinto, CA
- Zip : 92583-3437
- Fax : (951) 654-1352
- Phone : (951) 654-7393
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | DSO35552 | CA |
| Y | 213EG0000X | General Practice | DSO35552 | CA |
National Provider Identifier
| NPI | 1003828245 |
|---|---|
| Provider Name | Dr. Craig Michael Smith |
| First Address | San Jacinto, CA 92583-3437 |
| Second Address | San Jacinto, CA 92583-3437 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.