# KEVIN E. SMITH DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053587089
- **Authorized official:** DR. KEVIN E SMITH DDS (OWNER)
- **Authorized official phone:** (212) 799-1441

## Contact information

- **Practice address:** 228 W 71ST ST, NEW YORK, NY 10023-3730
- **Practice address phone:** (212) 799-1441
- **Mailing address:** 228 W 71ST ST, NEW YORK, NY 10023-3730
- **Mailing address phone:** (212) 799-1441
- **Mailing address fax:** (212) 579-9646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 055069 | NY | — |
| 1223E0200X | Endodontics | 047983 | NY | — |
| 1223E0200X | Endodontics | 049387 | NY | — |
| 1223G0001X | General Practice Dentistry | 040872 | NY | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 051829-1 | NY | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 054277 | NY | — |
| 1223P0300X | Periodontics | 047045 | NY | — |
| 1223P0300X | Periodontics | 0536361 | NY | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0535851 | NY | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 09/10/2026