# DR. STEVEN EDWARD SMULLIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1679554513
- **Gender:** Man
- **Credential:** DMD, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 10246 | CT | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 20571 | MA | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 231511 | MA | — |

## Other

- **Enumeration date:** 11/08/2005
- **Last updated:** 03/14/2019