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1225628167 NPI number — PAUL STEPHEN SMITH DDS

NPI Number: 1225628167
Health Care Provider/Practitioner: PAUL STEPHEN SMITH DDS

Information about “1225628167” NPI (PAUL STEPHEN SMITH DDS) exists in 1225628167 in HTML format HTML  |  1225628167 in plain Text format TXT  |  1225628167 in PDF (Portable Document Format) PDF  |  1225628167 in an XML format XML  formats.

NPI Number : 1225628167 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225628167",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "PAUL",
    "MiddleName": "STEPHEN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "300 TUSKEGEE BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DOVER AIR FORCE BASE",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19902-5003",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-677-2028",
    "MailingAddressFaxNumber": "302-677-3231",
    "FirstLinePracticeLocationAddress": "BLDG 140",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RAF CROUGHTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "09494",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-236-8739",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/25/2021",
    "LastUpdateDate": "07/21/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "35141",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "35141",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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