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Contact Information

MICHAEL J SMOLJAN, DDS, MS
12221 SAINT CHARLES ROCK RD
BRIDGETON, MO63044-2502
 Phone: 314-656-6615
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MICHAEL J SMOLJAN · (Male)

NPI # 1598262263
Status Active
Credentials DDS, MS
Entity Individual
Enumeration date 04/10/2018
Last updated 08/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2020012407
  • WI License # 1001820-15
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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