Sara M Smith
Dental Public Health
636 Broadway St Ne
Minneapolis
, Minnesota 55413
Sara M Smith
Dental Public Health
636 Broadway St Ne
Minneapolis
, Minnesota 55413
(612) 746-1531
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Sara M Smith
- 636 Broadway St Ne
- Minneapolis, MN
- Zip : 55413
- Fax : (612) 746-1531
- Phone : (612) 746-1530
Second Address
- Sara M Smith
- 636 Broadway St Ne
- Minneapolis, MN
- Zip : 55413
- Fax : (612) 746-1531
- Phone : (612) 746-1530
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | H8721 | MN |
National Provider Identifier
| NPI | 1518459072 |
|---|---|
| Provider Name | Sara M Smith |
| First Address | Minneapolis, MN 55413 |
| Second Address | Minneapolis, MN 55413 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2018 |
| Last Update Date | 20/06/2018 |
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.